La Clinica De Familia, Incorporated
NPI #1740286863 in Las Cruces, New Mexico
Provider Information
- NPI Number
- 1740286863
- Entity Type
- Organization
- Organization Name
- La Clinica De Familia, Incorporated
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jun 23, 2005
- Last Updated
- May 13, 2021
Practice Location
- Address
- 385 CALLE DE ALEGRA
- Address 2
- BLDG. A
- City
- Las Cruces
- State
- New Mexico
- ZIP Code
- 88005-3423
- Phone
- (575) 526-1105
Authorized Official
- Name
- VIRGIL MEDINA
- Title
- CHEIF 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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