Organization
EAGLE PASS PEDIATRIC HEALTH CLINIC
Active
Organization
EAGLE PASS PEDIATRIC HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA W. DE LOS SANTOS BBA (CEO)
(830) 773-1103
Entity
Organization
Contact information
Practice address
710 WILLIAMS ST, EAGLE PASS, TX 78852
(830) 773-1103
(830) 757-8366
Mailing address
710 WILLIAMS ST, EAGLE PASS, TX 78852-5126
(830) 773-1103
(830) 757-8366
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/25/2008
Last updated
04/06/2023
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