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Pediatric Specialty Rural Health Clinic,ltd

Clinic/Center in Eagle Pass, TX. Organization (NPI-2).

NPI number1851486500
StatusActive
Last updated in NPPESNov 3, 2010

Details

NPI
1851486500
Entity type
Organization (NPI-2)
Legal business name
Pediatric Specialty Rural Health Clinic,ltd
Organization subpart
No
Enumeration date
Oct 4, 2006
Last updated
Nov 3, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/CenterF3442TXYes

Other names

  • D/B/A Eagle Pass Pediatric Health Clinic (Doing Business As)

Practice location

710 Williams St
Eagle Pass, TX 78852-5126

Phone 830-773-1103 · Fax 830-757-8366

Mailing address

Po Box 2368
Eagle Pass, TX 78853-2368

Phone 830-773-1103 · Fax 830-757-8366

Authorized official

Debra W De Los Santos
Ceo
8307731103

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