Eagle Pass Pediatric Health Clinic

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

EAGLE PASS PEDIATRIC HEALTH CLINIC

Practice address

710 Williams St
Eagle Pass, TX 78852

Phone

(830) 773-1103

Fax

(830) 757-8366

NPI assigned

Jun 25, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Debra W. De Los Santos, BBA

Title

Ceo

Phone

(830) 773-1103

Specialties & licenses 1

Addresses

Tax ID family

Eagle Pass Ped HLTH Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pediatric Specialty Rural Health Clinic, LTD.

  • Rural Health Clinic/Center
  • Eagle Pass, TX
  • NPI 1104958081
  NPD tax ID

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1043472780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 WILLIAMS ST",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788525126",
            "telephone_number": "830-773-1103",
            "fax_number": "830-757-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 WILLIAMS ST",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "78852",
            "telephone_number": "830-773-1103",
            "fax_number": "830-757-8366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 Williams St",
            "address_purpose": "LOCATION",
            "city": "Eagle Pass",
            "state": "TX",
            "postal_code": "788525126",
            "country_code": "US",
            "telephone_number": "830-773-1103",
            "fax_number": "830-757-8366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EAGLE PASS PEDIATRIC HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "DE LOS SANTOS",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "830-773-1103",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BBA"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eagle Pass Hospice and Palliative Care LLC
• Eagle Pass Hospice Care, Inc.
• Eagle Pass I Enterprises, LLC
• Eagle Pass Independent School District
• Eagle Pass Nursing and Rehabilitation LP
• Eagle Pass Rehabilitation Services
• Eagle Pass Speech and Language Services
• Eagle Pass Spine and Rehab,LLC
• Eagle Pass Therapy Clinic PC
• Eden Home Health, LLC.

• Rural Health Clinic/Center in Eagle Pass, TX
• Providers in Eagle Pass, TX by specialty
• Rural Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.