NPIMap

Organization Active NPI

United Medical Centers

  • Federally Qualified Health Center (FQHC)
  • Eagle Pass, TX
National Provider Identifier
1295525012
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
UNITED MEDICAL CENTERS
Practice address
2198 E Garrison St
Eagle Pass, TX 78852-5076
Phone
(830) 773-7662
Fax
(830) 773-7664
NPI assigned
May 7, 2025
Last updated
Apr 15, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
UNITED MEDICAL CENTERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Authorized official

Name
William Worrell
Title
Ceo
Phone
(830) 773-8917

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

2198 E Garrison St
Eagle Pass, TX 78852-5076

Mailing address

PO Box 1470
Eagle Pass, TX 78853-1470
Phone (830) 773-8917

Other names 1

  • Kids Corner Pediatrics by United Medical Centers Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040817000497 TX Part B Supplier - Clinic/Group Practice 7618957135 Receives reassigned benefits from 86 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Del Rio, TX; Eagle Pass, TX; Brackettville, TX
O20250827005204 TX Part A Provider - Federally Qualified Health Center (FQHC) 7618957135 Practice locations: Eagle Pass, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295525012. Details of each certification follow.

Federally qualified health center certification: CCN 971101

Legal name
UNITED MEDICAL CENTERS
Doing business as
KIDS CORNER PEDIATRICS BY UNITED MEDICAL CENTERS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 26, 2025
Last certification
Nov 26, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
2198 E Garrison St
Eagle Pass, TX 78852-5076

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2323471Kids Corner Pediatrics by United Medical Centers2198 E Garrison St, Eagle Pass, TX 78852Certificate of waiverMay 6, 2027

National Provider Directory

National Provider Directory
Tax ID family
United Medical Centers10 organizations share this tax ID, including this one
Part of
United Medical Centers

Other organizations with this tax ID 9

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

Locations

1117 W De la Rosa St
Del Rio, TX 78840
Phone (830) 768-4800

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Alma Gonzalez Individual W-2 Managing EmployeeHealthcare Systems Compliance Coord Jul 14, 2025 100%
William M Worrell Individual Corporate OfficerChief Executive Officer Jul 14, 2025 100%
Jose de Luna Individual Corporate DirectorBoard of Director President Jul 14, 2025 100%
Gaston I Zylberg Individual Corporate OfficerChief Medical Officer Jul 14, 2025 100%
Lydia T Olvera Individual W-2 Managing EmployeeClinic Manager Jul 14, 2025 100%
Rafael E Olvera Individual Corporate OfficerChief Financial Officer Jul 14, 2025 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 85

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 85

NPI Registry JSON

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

{
    "created_epoch": "1746576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1295525012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1470",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788531470",
            "telephone_number": "830-773-8917",
            "fax_number": "830-773-6432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2198 E GARRISON ST",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788525076",
            "telephone_number": "830-773-7662",
            "fax_number": "830-773-7664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED MEDICAL CENTERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNITED MEDICAL CENTERS",
        "enumeration_date": "2025-05-07",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A",
        "authorized_official_last_name": "WORRELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "830-773-8917"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids Corner Pediatrics by United Medical Centers",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Eagle Pass, TX

Sources for this page

Verify at the official NPI Registry.