Eagle Pass Pediatic Health Clinic
LBN: Pediatric Specialty Rural Health Clinic
Eagle Pass Pediatic Health Clinic is an health care organization with primary practice located at 710 Williams St , Eagle Pass TX 78852-5126. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Pediatric Specialty Rural Health Clinic can be contacted via phone (830) 773-1103, or through De Los Santos, Debra W via phone (830) 773-1103.
Contact Information
Primary practice address
710 Williams St
Eagle Pass TX 78852-5126
Phone: (830) 773-1103
Fax: (830) 757-8366
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | F3442 | Texas |
Profile Details
NPI number | 1730204264 |
---|---|
LBN Legal business name | Pediatric Specialty Rural Health Clinic |
DBA Doing business as | Eagle Pass Pediatic Health Clinic |
Authorized official | De Los Santos, Debra W |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Mar 21st, 2007 |
Last updated | Nov 3rd, 2010 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1730204264 | NPPES |
Texas | MEDICAID | 018235401 | |
Texas | Other | 1124150024 | |
Texas | Other | 1841347838 | |
Texas | Other | 1851486500 |
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