institution
Kickapoo Traditional Tribe Of Texas
Health Service Clinic/Center in Eagle Pass, Texas
NPI 1821159518

Kickapoo Traditional Tribe Of Texas is a Health Service Clinic/Center based in Eagle Pass, TX and is specialized in Health Service. Kickapoo Traditional Tribe Of Texas practices in Eagle Pass, TX. The NPI Number for Kickapoo Traditional Tribe Of Texas is 1821159518 and holds a License No. (Texas).

The current practice location address for Kickapoo Traditional Tribe Of Texas is 2192 Rosita Valley Road, Eagle Pass, TX and can be reached out via phone at 830-421-5349 and via fax at 830-757-5193.

Location: 2192 Rosita Valley Road, Eagle Pass, TX, 78852-9752
institution
Provider Profile Details
NPI Number
1821159518
Provider Name
Kickapoo Traditional Tribe Of Texas
Credential
Provider Entity Type
Organization
Address
2192 Rosita Valley Road, Eagle Pass, TX, 78852-9752
Phone Number
830-421-5349
Fax Number
830-757-5193
Provider Enumeration Date
12/13/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
HSZ222 01 TX MEDICARE
200158801 05 TX
institution
Provider Business Practice Location Address Details
Address
2192 Rosita Valley Road
City
State
Zip
78852-9752
Phone Number
830-421-5349
Fax Number
830-757-5193
person
Provider Business Mailing Address Details
Address
2192 Rosita Valley Road
City
State
Zip
78852-9752
Phone Number
830-421-5349
Fax Number
830-757-5193
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
()
Definition
Definition to come...
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