# COMMUNITY GENERAL HOSPITAL OF DILLEY TEXAS INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Escobar Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063681286
- **Authorized official:** DR. TARIQ MAHMOOD MD (CEO)
- **Authorized official phone:** (830) 334-4016

## Contact information

- **Practice address:** 105 E HACKBERRY ST, PEARSALL, TX 78061-4412
- **Practice address phone:** (830) 334-4016
- **Practice address fax:** (830) 334-4055
- **Mailing address:** 105 HACKBERRY STREET, PEARSALL, TX 78061-4412
- **Mailing address phone:** (830) 334-4016
- **Mailing address fax:** (830) 334-4055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | F5197 | TX | Yes |

## Other

- **Enumeration date:** 02/21/2008
- **Last updated:** 03/08/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 063446101 | — | TX |
| 01 | — | 45-8880 | MEDICARE CCN | TX |