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
Fax: (830) 757-8366
Website:
Authorized official contact:
Name: De Los Santos, Debra W

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1730204264 NPPES
Texas MEDICAID 018235401
Texas Other 1124150024
Texas Other 1841347838
Texas Other 1851486500

Popular Providers