| La Paz Community Health Care Center, Inc. | |
|
530 San Pedro Ave San Antonio TX 78212-5006 | |
| (210) 697-5700 | |
| (210) 558-9032 |
| Full Name | La Paz Community Health Care Center, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 530 San Pedro Ave, San Antonio, Texas |
| Authorized Official Name and Position | Adediran Adedeji (CEO) |
| Authorized Official Contact | 2106975700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Paz Community Health Care Center, Inc. 530 San Pedro Ave San Antonio TX 78212-5006 Ph: (210) 697-5700 | La Paz Community Health Care Center, Inc. 530 San Pedro Ave San Antonio TX 78212-5006 Ph: (210) 697-5700 |
| NPI Number | 1336137678 |
|---|---|
| Provider Enumeration Date | 10/11/2005 |
| Last Update Date | 07/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336137678 | NPI | - | NPPES |
| 021375301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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