El Centro del Barrio, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

License

HBOCS00758-04-00 Issued in TX

Legal business name

EL CENTRO DEL BARRIO, INC.

Practice address

123 Ascot Ave
San Antonio, TX 78224-1101

Phone

(210) 927-1816

Fax

(210) 927-3715

NPI assigned

Nov 15, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Chuck Walzel

Title

Cfo

Phone

(210) 922-0103

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Family Resource Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237766400000",
    "number": "1821160508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 COMMERCIAL AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782213117",
            "telephone_number": "210-922-0103",
            "fax_number": "210-271-7208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 ASCOT AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241101",
            "telephone_number": "210-927-1816",
            "fax_number": "210-927-3715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL CENTRO DEL BARRIO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2009-03-23",
        "status": "A",
        "authorized_official_last_name": "WALZEL",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "210-922-0103"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "TX",
            "license": "HBOCS00758-04-00",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120980101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120980102",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE",
            "identifier": "00MT08",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Resource Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• El Centro del Barrio, Inc.
• El Centro del Barrio, Inc.
• El Centro del Barrio, Inc.
• El Centro del Barrio, Inc.
• El Centro del Barrio, Inc.
• El Centro del Barrio, Inc.
• El Centro del Barrio, Inc.
• El Centro del Barrio, Inc.
• Mahmoud El Hajj, MD
• Maya Fayez Hanna El Kour, M.D.

• Federally Qualified Health Center (FQHC) in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Federally Qualified Health Center (FQHC) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.