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Organization
COMMUNITY GENERAL HOSPITAL OF DILLEY TEXAS INC
Active
Organization
COMMUNITY GENERAL HOSPITAL OF DILLEY TEXAS INC
Active
Other names
Escobar Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARIQ MAHMOOD MD (CEO)
(830) 334-4016
Entity
Organization
Contact information
Practice address
105 E HACKBERRY ST, PEARSALL, TX 78061-4412
(830) 334-4016
(830) 334-4055
Mailing address
105 HACKBERRY STREET, PEARSALL, TX 78061-4412
(830) 334-4016
(830) 334-4055
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
F5197
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063446101
—
TX
01
—
45-8880
MEDICARE CCN
TX
Enumeration date
02/21/2008
Last updated
03/08/2013
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