Healthcare Provider Details

I. General information

NPI: 1568868370
Provider Name (Legal Business Name): COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2014
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 W 10TH ST.
ELGIN TX
78621
US

IV. Provider business mailing address

PO BOX 1890
GONZALES TX
78629-1390
US

V. Phone/Fax

Practice location:
  • Phone: 512-229-3334
  • Fax:
Mailing address:
  • Phone: 830-672-6511
  • Fax: 830-672-6430

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: MR. RAFAEL DE LA PAZ
Title or Position: CEO
Credential:
Phone: 830-672-6511