MEDICARE: BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM1300X	Multi-Specialty Clinic/Center
2	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1508542580
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER, INC.

Provider Business Mailing Address
First Line	:	3066 E COMMERCE ST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78220-1013
Country	:	US
Telephone Number	:	210-233-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	2316 SE MILITARY DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78223-3527
Country	:	US
Telephone Number	:	210-233-7000
Fax Number	:	210-434-3271

Authorized Official
Title or Position	:	CEO
Name	:	HUNG-VY PAUL NGUYEN
Credential	:
Telephone Number	:	210-233-7000

Provider Enumeration Date	:	06/26/2023
Last Update Date	:	02/12/2025

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