| El Centro Del Barrio, Inc | |
|
3127 Se Military Dr Suite 101 San Antonio TX 78223-3990 | |
| (210) 928-4970 | |
| (210) 928-4999 |
| Full Name | El Centro Del Barrio, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3127 Se Military Dr, San Antonio, Texas |
| Authorized Official Name and Position | Chuck Walzel (CFO) |
| Authorized Official Contact | 2103343724 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| El Centro Del Barrio, Inc 3750 Commercial Ave San Antonio TX 78221-3117 Ph: (210) 334-3700 | El Centro Del Barrio, Inc 3127 Se Military Dr Suite 101 San Antonio TX 78223-3990 Ph: (210) 928-4970 |
| NPI Number | 1124313804 |
|---|---|
| Provider Enumeration Date | 06/10/2011 |
| Last Update Date | 05/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124313804 | NPI | - | NPPES |
| 120980102 | Medicaid | TX | |
| 120980101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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