La Clinica De Familia, Incorporated
NPI #1508838004 in Chaparral, New Mexico
Provider Information
- NPI Number
- 1508838004
- Entity Type
- Organization
- Organization Name
- La Clinica De Familia, Incorporated
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Feb 7, 2006
- Last Updated
- Jun 1, 2020
Practice Location
- Address
- 510 E LISA DR
- City
- Chaparral
- State
- New Mexico
- ZIP Code
- 88081-7809
- Phone
- (575) 824-0820
Authorized Official
- Name
- VIRGIL MEDINA
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (575) 526-1105
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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