United Medical Centers
Organization Active NPI Federally Qualified Health Center (FQHC) · Eagle Pass, TX
NPI 1295525012 · NPPES record last updated Apr 15, 2026
Key facts
- NPI
- 1295525012
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 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
- Organization subpart
- Yes
- Parent organization (as reported)
- UNITED MEDICAL CENTERS
Authorized official
- Name
- William Worrell
- Title
- Ceo
- Phone
- (830) 773-8917
Parent organization (reported in NPPES) 1
Owners & managing parties with NPI records 1
-
Gaston Ittay Zylberg, M.D.
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 10
Corporate family (same tax ID) 9
Practitioners 86
-
Alberto Aguayo Orozco, M.D.
-
Danny Almaguer, DPM
-
Blake E Barraza, MD
-
Victor Hugo Cruz, M.A., LPC
-
Ethel H Gomez, LPC
-
Cody J Harrison, OD
-
Lee Thomas Keenen Jr., D.P.M.
-
Frank C Kretsinger, D.O.
-
Robert Marquinez, M.D.
-
Angel Martinez, M.D.
-
Michael Corry Ringwood, D.P.M.
-
Mostafa M Salama, MD
-
Erika Sandoval, LPC
-
Jay Siu, DO
-
Vivian Viera, M.D.
-
Lon Andrew Walder, D.O.
-
Gaston Ittay Zylberg, M.D.
-
Kennard Lee Kollaus, M.D.
-
Brandon Alvarez, FNP
-
Hector Alvarez, DDS
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2323471 | Kids Corner Pediatrics by United Medical Centers | Certificate of waiver | May 6, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX
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
- Corporation · Non-profit
- Enrollment address
- 2198 E Garrison St
Eagle Pass, TX 78852-5076
All disclosed owners & managing parties 6
| Name | Role | Since | Share |
|---|---|---|---|
| Alma Gonzalez |
W-2 Managing Employee |
Jul 14, 2025 | 100% |
| William M Worrell |
Corporate Officer |
Jul 14, 2025 | 100% |
| Jose de Luna |
Corporate Director |
Jul 14, 2025 | 100% |
| Gaston I Zylberg |
Corporate Officer |
Jul 14, 2025 | 100% |
| Lydia T Olvera |
W-2 Managing Employee |
Jul 14, 2025 | 100% |
| Rafael E Olvera |
Corporate Officer |
Jul 14, 2025 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- United Medical Centers
- Part of
- United Medical Centers
Locations
2525 N Veterans Blvd
Bldg 2
Eagle Pass, TX 78852
Phone (830) 773-1635
2525 N Veterans Blvd
Eagle Pass, TX 78852
Phone (830) 773-5358
1175 Eidson Rd
Eagle Pass, TX 78852
Phone (830) 757-6946
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes | ||
| Physician Assistant |
363A00000X | |||
| Family Nurse Practitioner |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1378093-02 | Medicaid | TX |
Other names
- Kids Corner Pediatrics by United Medical Centers
Other providers in Eagle Pass, TX
- Hector Raul Trevino
- Jaime Trevino
- Victoria Trevino
- Trinity Center - Ep LLC
- United Medical Centers
- United Medical Centers
- United Medical Centers
- United Medical Centers
- United Medical Centers
- United Medical Transports, Inc.
All providers in Eagle Pass, TX · Federally Qualified Health Center (FQHC) in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.