Healthcare Provider Details

I. General information

NPI: 1003136912
Provider Name (Legal Business Name): BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2010
Last Update Date: 01/16/2023
Certification Date: 01/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2810 DACY LANE
KYLE TX
78640-5904
US

IV. Provider business mailing address

3066 E COMMERCE ST
SAN ANTONIO TX
78220-1013
US

V. Phone/Fax

Practice location:
  • Phone: 512-268-8900
  • Fax: 512-268-2250
Mailing address:
  • Phone: 210-233-7070
  • Fax: 210-277-5197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. HUNG-VY M. NGUYEN
Title or Position: CEO
Credential:
Phone: 210-233-7070