Organization
COMMUNITY GENERAL HOSPITAL OF DILLEY TEXAS INC
Active
Other names
Escobar Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARIQ MAHMOOD MD (CEO)
(830) 334-4016
Entity
Organization
Contact information
Practice address
105 E HACKBERRY ST, PEARSALL, TX 78061-4412
(830) 334-4016
(830) 334-4055
Mailing address
105 HACKBERRY STREET, PEARSALL, TX 78061-4412
(830) 334-4016
(830) 334-4055
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
F5197
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063446101
—
TX
01
—
45-8880
MEDICARE CCN
TX
Enumeration date
02/21/2008
Last updated
03/08/2013
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