NPIMap

Organization Active NPI

Fort Duncan Medical Center, L.P.

  • Nutrition Education Nutritionist
  • Eagle Pass, TX
National Provider Identifier
1194772186
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
License
722994 Issued in TX
Legal business name
FORT DUNCAN MEDICAL CENTER, L.P.
Practice address
350 S Adams St
Eagle Pass, TX 78852-5110
Phone
(830) 773-5321
Fax
(830) 758-4872
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Alfredo Ontiveros Jr.
Title
Ceo/Managing Director
Phone
(830) 773-5321

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133NN1002X 722994 TX Primary
Personal Emergency Response AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 146D00000X 000547 TX

Addresses

Primary practice location

350 S Adams St
Eagle Pass, TX 78852-5110

Mailing address

350 S Adams St
Eagle Pass, TX 78852-5110
Phone (830) 773-5321

Other names 1

  • FDMC CRNA Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fort Duncan Med Center LP5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

350 S Adams St
Eagle Pass, TX 78852
Phone (830) 757-5080

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1194772186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S ADAMS ST",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788525110",
            "telephone_number": "830-773-5321",
            "fax_number": "830-758-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S ADAMS ST",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788525110",
            "telephone_number": "830-773-5321",
            "fax_number": "830-758-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT DUNCAN MEDICAL CENTER, L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ONTIVEROS",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_title_or_position": "CEO/MANAGING DIRECTOR",
        "authorized_official_telephone_number": "830-773-5321",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "TX",
            "license": "722994",
            "primary": true
        },
        {
            "code": "146D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Personal Emergency Response Attendant",
            "state": "TX",
            "license": "000547",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FDMC CRNA Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eagle Pass, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.