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NPI Code Detail

MEDICARE: EL CENTRO DEL BARRIO, INC

MEDICARE: EL CENTRO DEL BARRIO, 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
1261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1801389044
Entity Type Code : Organization
Provider Name (Legal Business Name) : EL CENTRO DEL BARRIO, INC
Provider Business Mailing Address
First Line : 3750 COMMERCIAL AVE
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78221-3117
Country : US
Telephone Number : 210-922-7000
Fax Number : 210-457-3392
Provider Business Practice Location Address
First Line : 5439 RAY ELLISON BLVD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78242-2219
Country : US
Telephone Number : 210-922-7000
Fax Number : 210-457-3392
Authorized Official
Title or Position : VP/CFO
Name : MR. LAWRENCE C WALZEL
Credential : CPA, MBA
Telephone Number : 210-334-3724
Provider Enumeration Date : 06/12/2018
Last Update Date : 01/30/2019

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Directions to “EL CENTRO DEL BARRIO, INC ” Practice Location

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