| Pediatric Specialty Rural Health Clinic,ltd | |
|
710 Williams St Eagle Pass TX 78852-5126 | |
| (830) 773-1103 | |
| (830) 757-8366 |
| Full Name | Pediatric Specialty Rural Health Clinic,ltd |
|---|---|
| Speciality | Clinic/center |
| Location | 710 Williams St, Eagle Pass, Texas |
| Authorized Official Name and Position | Debra W De Los Santos (CEO) |
| Authorized Official Contact | 8307731103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Specialty Rural Health Clinic,ltd Po Box 2368 Eagle Pass TX 78853-2368 Ph: (830) 773-1103 | Pediatric Specialty Rural Health Clinic,ltd 710 Williams St Eagle Pass TX 78852-5126 Ph: (830) 773-1103 |
| NPI Number | 1851486500 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 11/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851486500 | NPI | - | NPPES |
| 130941102 | Other | TX | DR.RICARDO DE LOS SANTOS |
| 742708192 | Other | TX | TAX ID |
| 8127J1 | Other | TX | BLUECROSSBLUESHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | F3442 (Texas) | Primary |
Eagle Pass Pediatric Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 710 Williams St, Eagle Pass, TX 78852 Phone: 830-773-1103 Fax: 830-757-8366 | |
Primary Care Of Eagle Pass Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1975 N Veterans Blvd Ste 9, Eagle Pass, TX 78852 Phone: 830-213-8186 Fax: 830-213-8157 | |
Dr Sergio Zamora, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2450 El Indio Hwy, Eagle Pass, TX 78852 Phone: 830-757-3900 Fax: 830-757-3838 | |
Advace Cardiology Group Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1975 N Veterans Blvd, Suite 8, Eagle Pass, TX 78852 Phone: 830-776-5818 Fax: 830-776-5814 | |
Alamillo Family Practice Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1975 N Veterans Blvd, Suite 6, Eagle Pass, TX 78852 Phone: 830-758-1633 Fax: 830-773-6989 | |
Victoriano Valdez M.d. P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1951 N Veterans Blvd, Eagle Pass, TX 78852 Phone: 830-773-5000 Fax: 830-773-6262 | |
Ruben De Los Santos Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1955 E Main St, Eagle Pass, TX 78852 Phone: 830-773-7474 Fax: 830-872-2659 |