# THE EAGLE FORD CLINICS, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hood Medical Clinics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568581775
- **Authorized official:** SURESH V DUTTA JR. MD (MD/OWNER)
- **Authorized official phone:** (830) 965-1684

## Contact information

- **Practice address:** 111 E. MILLER ST., DILLEY, TX 78017
- **Practice address phone:** (830) 965-1684
- **Practice address fax:** (830) 965-1278
- **Mailing address:** 111 E. MILLER ST., DILLEY, TX 78017
- **Mailing address phone:** (830) 965-1684
- **Mailing address fax:** (830) 965-1278

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/28/2007
- **Last updated:** 03/16/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0057PD | BCBS GRP NUMBER | TX |
| 01 | — | 00X375 | MEDICARE GROUP | TX |
| 05 | — | 187810001 | — | TX |