Centro San Vicente
NPI #1780761452 in San Elizario, Texas
Provider Information
- NPI Number
- 1780761452
- Entity Type
- Organization
- Organization Name
- Centro San Vicente
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Nov 1, 2006
- Last Updated
- Apr 30, 2014
Practice Location
- Address
- 13017 PERICO ST
- City
- San Elizario
- State
- Texas
- ZIP Code
- 79849-1517
- Phone
- (915) 851-0999
Authorized Official
- Name
- DR. JOSE LUNA JR., MD
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (915) 225-0670
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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