Organization
EL CENTRO DEL BARRIO, INC.
Active
Other names
University Family Health Center-SW
Organization subpart
No
Provider details
NPI number
Authorized official
CHUCK WALZEL (CFO)
(210) 334-3724
Entity
Organization
Contact information
Practice address
2121 SW 36TH ST, SAN ANTONIO, TX 78237-3360
(210) 358-5233
(210) 922-0162
Mailing address
3750 COMMERCIAL AVE, SAN ANTONIO, TX 78221-3117
(210) 334-3700
(210) 922-0162
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
HBOCS00758-04-00
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183147101
—
TX
Enumeration date
07/16/2007
Last updated
07/16/2009
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