Project Vida Health Center
NPI #1093673162 in San Elizario, Texas
Provider Information
- NPI Number
- 1093673162
- Entity Type
- Organization
- Organization Name
- Project Vida Health Center
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jan 15, 2026
- Last Updated
- Jan 15, 2026
Practice Location
- Address
- 13300 CHICKEN RANCH RD
- City
- San Elizario
- State
- Texas
- ZIP Code
- 79849
- Phone
- (905) 233-5450
Authorized Official
- Name
- TIMOTHY DAVENPORT-HERBST
- Title
- CEO
- Phone
- (915) 465-1191
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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