| Chdi Ham Lane | |
|
115 N. Ham Ln Uvalde TX 78801-6223 | |
| (830) 278-5604 | |
| Not Available |
| Full Name | Chdi Ham Lane |
|---|---|
| Speciality | Clinic/Center |
| Location | 115 N. Ham Ln, Uvalde, Texas |
| Authorized Official Name and Position | Mayela Castanon (CEO) |
| Authorized Official Contact | 8302785604 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chdi Ham Lane 908 Evans St Ste A Uvalde TX 78801-6052 Ph: (830) 278-5604 | Chdi Ham Lane 115 N. Ham Ln Uvalde TX 78801-6223 Ph: (830) 278-5604 |
| NPI Number | 1053161604 |
|---|---|
| Provider Enumeration Date | 03/26/2024 |
| Last Update Date | 08/19/2026 |
| Certification Date | 08/19/2026 |
| Medicare PECOS PAC ID | 3072422740 |
|---|---|
| Medicare Enrollment ID | O20250926001524 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053161604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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