Organization · Type 2 NPI

People's Community Clinic, Inc.

Federally Qualified Health Center (FQHC) · Manor, TX

NPI number 1083019905 Active

Practice location

10335 US Highway 290 E
Manor, TX 78653-4686

Call (512) 278-4462 Map

Fax (512) 278-4017

Mailing address

1101 Camino La Costa
Austin, TX 78752-3930

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

2 other providers at this address

Aracely Longoria, MA, CCC-SLPSpeech-Language Pathologist Manor, TX NPI 1194860908
Nelienid Rosario-Aguila, M.S., CCC-SLPSpeech-Language Pathologist Manor, TX NPI 1447627252

Other federally qualified health center (fqhc) providers in Manor

See all in Manor →

NPI record

NPI: 1083019905
Entity type: Organization (Type 2)
Issued: Nov 4, 2014
Last updated: Dec 10, 2025
Status: Active

Other names

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People's Community Clinic Off-Site Clinic at Manor · doing business as
People's Community Clinic Off-Site Clinic at Manor · doing business as

Authorized official

Matthew Balthazar
Chief Executive Officer
(512) 684-1721

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1083019905

People's Community Clinic, Inc.'s National Provider Identifier is 1083019905, issued on Nov 4, 2014. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Manor, TX. The record was last updated on Dec 10, 2025.