Organization Active NPI

Eldorado Texas Community Service

  • Community Health Clinic/Center
  • Pharr, TX
National Provider Identifier
1164748216
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
ELDORADO TEXAS COMMUNITY SERVICE
Practice address
5510 N Cage Blvd
Suite 9
Pharr, TX 78577-1812
Phone
(661) 254-6630
Fax
(661) 254-6644
NPI assigned
Apr 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2010

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

Authorized official

Name
Mr. Pramesh P. Sharma
Title
Cfo
Phone
(661) 254-6630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

5510 N Cage Blvd
Suite 9
Pharr, TX 78577-1812

Mailing address

5510 N Cage Blvd
Suite 9
Pharr, TX 78577-1812
Phone (661) 254-6630

Other identifiers 1

IdentifierTypeStateIssuer
TX-10240-MOtherTXSAMHSA

National Provider Directory

National Provider Directory

Locations

5510 N Cage Blvd
Ste 9
Pharr, TX 78577

NPI Registry JSON

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271203200000",
    "number": "1164748216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 N CAGE BLVD",
            "address_2": "SUITE 9",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785771812",
            "telephone_number": "661-254-6630",
            "fax_number": "661-254-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 N CAGE BLVD",
            "address_2": "SUITE 9",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785771812",
            "telephone_number": "661-254-6630",
            "fax_number": "661-254-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDORADO TEXAS COMMUNITY SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-14",
        "last_updated": "2010-04-14",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "PRAMESH",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "661-254-6630",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAMHSA",
            "identifier": "TX-10240-M",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pharr, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; 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.