Eliezer Hernandez MD PA
Doing business as Yeled Shalom Pediatric Clinic
Rural health clinic in Eagle Pass, TX, Medicare certification number 458987.
Medicare certification
Provider of Services- CCN
- 458987
- Status
- Active
- Provider type
- Rural health clinic
- Control type
- 1B
- Participating since
- Sep 23, 1998
- Last certification
- Nov 1, 2022
- Most recent change of ownership
- Oct 18, 2000 (1 total)
- Address
- 1975 Veterans Blvd Suite 5
Eagle Pass, TX 78852
(830) 773-9449
NPI records for this facility (CCN to NPI Mapping) 1
-
dba Yeled Shalom Pediatric Clinic
- Rural Health Clinic/Center
- Eagle Pass, TX
- NPI 1770540684
Medicare enrollment
Other rural health clinics in Eagle Pass, TX
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.