| La Paz Community Health Center | |
|
530 San Pedro Ave San Antonio TX 78212-5007 | |
| (210) 558-8744 | |
| (210) 558-4276 |
| Full Name | La Paz Community Health Center |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| 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 Center 530 San Pedro Ave San Antonio TX 78212-5007 Ph: (210) 558-8744 | La Paz Community Health Center 530 San Pedro Ave San Antonio TX 78212-5007 Ph: (210) 558-8744 |
| NPI Number | 1871776567 |
|---|---|
| Provider Enumeration Date | 12/17/2007 |
| Last Update Date | 11/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871776567 | NPI | - | NPPES |
| 1965873-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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