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Centro San Vicente
Federally Qualified Health Center (FQHC) in San Elizario, Texas
NPI 1780761452

Centro San Vicente is a Federally Qualified Health Center (FQHC) based in San Elizario, TX and is specialized in Federally Qualified Health Center (FQHC). Centro San Vicente practices in San Elizario, TX. The NPI Number for Centro San Vicente is 1780761452 and holds a License No. (Texas).

The current practice location address for Centro San Vicente is 13017 Perico St, San Elizario, TX and can be reached out via phone at 915-851-0999 and via fax at 915-851-6060.

Location: 13017 Perico St, San Elizario, TX, 79849-1517
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780761452
Provider Name
Centro San Vicente
Credential
Provider Entity Type
Organization
Address
13017 Perico St, San Elizario, TX, 79849-1517
Phone Number
915-851-0999
Fax Number
915-851-6060
Provider Enumeration Date
11/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
130880102 05 TX
institution
Provider Business Practice Location Address Details
Address
13017 Perico St
City
San Elizario
State
Texas
Zip
79849-1517
Phone Number
915-851-0999
Fax Number
915-851-6060
person
Provider Business Mailing Address Details
Address
13017 Perico St
City
San Elizario
State
Texas
Zip
79849-1517
Phone Number
915-851-0999
Fax Number
915-851-6060
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
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Definition
Definition to come...
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