Eagle Pass Pediatric Health Clinic

NPI 1043472780 - Specialist - 174400000X

NPI Details
NPI 1043472780
Enumeration Date 06/25/2008
Last Updated 06/25/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name DEBRA W. DEBRA
Position CEO
Phone (830) 773-1103
Fax (830) 757-8366
Practice Location
2198 E GARRISON ST
EAGLE PASS TX, 78852-5076, US
Phone (830) 773-1103
Fax (830) 757-8366
Business Location
PO BOX 2368
EAGLE PASS TX, 78853-2368, US
Phone (830) 773-1103
Fax (830) 757-8366
Toxanomy
Taxonomy Code 174400000X
License State Texas
License Number F3442
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According to our database, Eagle Pass Pediatric Health Clinic NPI is 1043472780, taxonomy code is 174400000X and license number is F3442, license state is located at Texas. Eagle Pass Pediatric Health Clinic physically located at 2198 E Garrison St, Eagle Pass TX, 78852-5076. NPI Number 1033115704 has the healthcare provider type.

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1043472780 NPI number is provided on an as is basis without warranty of any kind. 1043472780 is maintained by the National Plan & Provider Enumeration System. The contents of Eagle Pass Pediatric Health Clinic are for informational purposes only.