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Pediatric Specialty Rural Health Clinic,ltd
Clinic/Center in Eagle Pass, Texas
NPI 1851486500

Pediatric Specialty Rural Health Clinic,ltd is a Clinic/Center based in Eagle Pass, TX. Pediatric Specialty Rural Health Clinic,ltd practices in Eagle Pass, TX. The NPI Number for Pediatric Specialty Rural Health Clinic,ltd is 1851486500 and holds a License No. F3442 (Texas).

The current practice location address for Pediatric Specialty Rural Health Clinic,ltd 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
1851486500
Provider Name
Pediatric Specialty Rural Health Clinic,ltd
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
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
130941102 01 TX DR.RICARDO DE LOS SANTOS
742708192 01 TX TAX ID
8127J1 01 TX BLUECROSSBLUESHIELD
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
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
F3442 (Texas)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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