CENTRO SAN VICENTE is a federally qualified health center (fqhc) clinic center in San Elizario, TX. CENTRO SAN VICENTE NPI is 1780761452. The provider is registered as an organization entity type.
The provider's business location address is:
13017 PERICO ST
SAN ELIZARIO, TX
ZIP 79849-517
Phone: (915) 851-0999
Fax: (915) 851-6060
The provider's authorized official is Jose Luna .
The authorized official title is Chief Executive Officer and has the following contact phone number (915) 225-0670.
The CLIA number assigned to this NPI record is 45D0965745 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 11/1/2006 and was last updated on 4/30/2014.