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Pediatric Specialty Rural Health Clinic
Specialist in Eagle Pass, Texas
NPI 1730204264

Pediatric Specialty Rural Health Clinic is a Specialist based in Eagle Pass, TX. Pediatric Specialty Rural Health Clinic practices in Eagle Pass, TX. The NPI Number for Pediatric Specialty Rural Health Clinic is 1730204264 and holds a License No. F3442 (Texas).

The current practice location address for Pediatric Specialty Rural Health Clinic is 710 Williams St, Eagle Pass, TX and can be reached out via phone at 830-773-1103 and via fax at 830-757-8366.

Location: 710 Williams St, Eagle Pass, TX, 78853-2368
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730204264
Provider Name
Pediatric Specialty Rural Health Clinic
Credential
Provider Entity Type
Organization
Address
710 Williams St, Eagle Pass, TX, 78853-2368
Phone Number
830-773-1103
Fax Number
830-757-8366
Provider Enumeration Date
03/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
018235401 05 TX
1124150024 01 TX DEBORAH A. THOMSON PAC
1841347838 01 TX DR WENDY W. PITT
1851486500 01 TX DR RICARDO DE LOS SANTOS
institution
Provider Business Practice Location Address Details
Address
710 Williams St
City
Eagle Pass
State
Texas
Zip
78852-5126
Phone Number
830-773-1103
Fax Number
830-757-8366
person
Provider Business Mailing Address Details
Address
710 Williams St
City
Eagle Pass
State
Texas
Zip
78852-5126
Phone Number
830-773-1103
Fax Number
830-757-8366
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
F3442 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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