La Clinica De Familia, Incorporated
NPI #1699748921 in Anthony, New Mexico
Provider Information
- NPI Number
- 1699748921
- Entity Type
- Organization
- Organization Name
- La Clinica De Familia, Incorporated
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Feb 8, 2006
- Last Updated
- Sep 18, 2025
Practice Location
- Address
- 855 ANTHONY DR
- City
- Anthony
- State
- New Mexico
- ZIP Code
- 88021-9325
- Phone
- (575) 882-5706
Authorized Official
- Name
- VIRGIL MEDINA
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (575) 526-1105
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
| Family Medicine |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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