La Clinica De Familia, Incorporated

NPI #1235001413 in Chaparral, New Mexico

Provider Information

NPI Number
1235001413
Entity Type
Organization
Organization Name
La Clinica De Familia, Incorporated
Primary Specialty
Community/Behavioral Health
Enumeration Date
Sep 18, 2025
Last Updated
Sep 18, 2025

Practice Location

Address
510 E LISA DR
ZIP Code
88081-7809
Phone
(575) 824-0820

Authorized Official

Name
VIRGIL MEDINA
Title
CEO
Phone
(575) 526-1105

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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