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Organization
HONDO HOSPITAL AUTHORITY
Active
Organization
HONDO HOSPITAL AUTHORITY
Active
Other names
Medina Community Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DELIA DOMINGUEZ (MEDICAID COLLECTOR)
(830) 426-7874
Entity
Organization
Contact information
Practice address
3100 AVENUE E, HONDO, TX 78861-3534
(830) 426-7700
(830) 426-7975
Mailing address
3100 AVENUE E, HONDO, TX 78861-3534
(830) 426-7700
(830) 426-7975
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
082496301
—
TX
Enumeration date
08/30/2007
Last updated
04/01/2010
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