Organization
THE EAGLE FORD CLINICS, PA
Active
Other names
Hood Medical Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
SURESH V DUTTA MD (OWNER)
(830) 965-1684
Entity
Organization
Contact information
Practice address
111 E MILLER ST, DILLEY, TX 78017-3912
(830) 965-1684
(830) 965-1278
Mailing address
111 E MILLER ST, DILLEY, TX 78017-3912
(830) 965-1684
(830) 965-1278
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13506605
—
TX
01
—
135106603
TX HEALTH STEPS
TX
Enumeration date
11/10/2005
Last updated
04/21/2015
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