Children's Clinic of Dimmit and Zavala, P.a.

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

CHILDREN'S CLINIC OF DIMMIT AND ZAVALA, P.A.

Practice address

1313 Veterans Avenue
Suite C
Crystal City, TX 78839-2828

Phone

(830) 374-4436

Fax

(830) 374-4437

NPI assigned

Jul 30, 2008

Last updated

Jan 19, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Abelardo Sabangan Doria, MDNPI 1841201316

Title

President

Phone

(830) 876-9870

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841456852. Details of each certification follow.

• CCN 673908 Rural health clinic · Active · Details

Rural health clinic certification: CCN 673908

Legal name

CHILDREN'S CLINIC OF DIMMIT AND ZAVALA, P.A.

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Aug 28, 2009

Last certification

May 3, 2016

Ownership / control type

2B

Organization structure

OtherProprietary

Incorporated

Jun 14, 1999 in TX

Enrollment address

1313 Veterans Blvd
Suite C
Crystal City, TX 78839-2828

Other NPIs with the same Medicare PAC ID 2

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

• Children's Clinic of Dimmit and Zavala, P.a.

  • Rural Health Clinic/Center
  • Carrizo Springs, TX
  • NPI 1972664613

  4981512431

  Same PAC ID
• Childrens Clinic of Dimmit and Zavala PA

  • Pediatrics Physician
  • Crystal City, TX
  • NPI 1356352827

  4981512431

  Same PAC ID

Tax ID family

Children's Clinic of Dimmit and Zavala PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Children's Clinic of Dimmit and Zavala, P.a.

  • Rural Health Clinic/Center
  • Carrizo Springs, TX
  • NPI 1972664613
  NPD tax ID
• Childrens Clinic of Dimmit and Zavala PA

  • Pediatrics Physician
  • Crystal City, TX
  • NPI 1356352827
  NPD tax ID

Locations

All disclosed owners & managing parties 2

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

Owners & managing parties with NPI records 1

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

• Abelardo Sabangan Doria, MD

  • Pediatrics Physician
  • Carrizo Springs, TX
  • NPI 1841201316

  5% Or Greater Direct Ownership Interest

  CMS ownership

Practitioners 1

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.

• Abelardo Sabangan Doria, MD

  • Pediatrics Physician
  • Carrizo Springs, TX
  • NPI 1841201316
  NPD (past) Authorized official

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768780800000",
    "number": "1841456852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 S 7TH ST",
            "city": "CARRIZO SPRINGS",
            "state": "TX",
            "postal_code": "788343805",
            "telephone_number": "830-876-9870",
            "fax_number": "830-876-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 VETERANS AVENUE",
            "address_2": "SUITE C",
            "city": "CRYSTAL CITY",
            "state": "TX",
            "postal_code": "788392828",
            "telephone_number": "830-374-4436",
            "fax_number": "830-374-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S CLINIC OF DIMMIT AND ZAVALA, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-30",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A",
        "authorized_official_last_name": "DORIA",
        "authorized_official_first_name": "ABELARDO",
        "authorized_official_middle_name": "SABANGAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "830-876-9870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K0721",
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111931503",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111931504",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosanna Garcia Caballero, FNP
• Michael Cannon, DPM
• Sandra Aguayo Castanon, P. A.
• Elsa Castillo
• Maria Teresa Chapa, SLP
• Childrens Clinic of Dimmit and Zavala PA
• Crystal City EMS
• Crystal City Independent School Distritct
• Crystal City Isd
• Crystal City Pharmacy LLC

• Rural Health Clinic/Center in Crystal City, TX
• Providers in Crystal City, 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 Jan 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.