The Eagle Ford Clinics, PA

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

THE EAGLE FORD CLINICS, PA

Practice address

111 E Miller St
Dilley, TX 78017-3912

Phone

(830) 965-1684

Fax

(830) 965-1278

NPI assigned

Nov 10, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Suresh V Dutta, MD

Title

Owner

Phone

(830) 965-1684

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Hood Medical Clinics Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1023099546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E MILLER ST",
            "city": "DILLEY",
            "state": "TX",
            "postal_code": "780173912",
            "telephone_number": "830-965-1684",
            "fax_number": "830-965-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E MILLER ST",
            "city": "DILLEY",
            "state": "TX",
            "postal_code": "780173912",
            "telephone_number": "830-965-1684",
            "fax_number": "830-965-1278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EAGLE FORD CLINICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "DUTTA",
        "authorized_official_first_name": "SURESH",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-965-1684",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13506605",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX HEALTH STEPS",
            "identifier": "135106603",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hood Medical Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nix Community General Hospital, LLC
• Diane Roel, NURSE PRACTITIONER
• Scott a Thomas, MD PA
• South Texas Rural Health Services, Inc.
• Texas Durable Medical Equipment, Inc
• The Eagle Ford Clinics, PA
• Linda I Valdez, FNP-C
• Cliff Patrick Watkins, D.D.S.
• Norma Liza Zamudio, RN

• All providers in Dilley, TX
• Rural Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.