EL CENTRO DEL BARRIO INC. NPI 1538264429

NPI Information

EL CENTRO DEL BARRIO, INC. is a federally qualified health center (fqhc) clinic center in San Antonio, TX. EL CENTRO DEL BARRIO, INC. NPI is 1538264429. The provider is registered as an organization entity type.
The provider Is Doing Business As Centromed South Park Medical Clinic.

The provider's business location address is:

6315 S ZARZAMORA ST
SAN ANTONIO, TX
ZIP 78211-218
Phone: (210) 977-7910
Fax: (210) 924-2165

The provider's authorized official is Chuck Walzel .
The authorized official title is Chief Financial Officer and has the following contact phone number (210) 334-3724.

The CLIA number assigned to this NPI record is 45D0054325 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/14/2006 and was last updated on 10/11/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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