Organization
ELDORADO TEXAS COMMUNITY SERVICE
Active
Organization
ELDORADO TEXAS COMMUNITY SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRAMESH P. SHARMA (CFO)
(661) 254-6630
Entity
Organization
Contact information
Practice address
5510 N CAGE BLVD, SUITE 9, PHARR, TX 78577-1812
(661) 254-6630
(661) 254-6644
Mailing address
5510 N CAGE BLVD, SUITE 9, PHARR, TX 78577-1812
(661) 254-6630
(661) 254-6644
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TX-10240-M
SAMHSA
TX
Enumeration date
04/14/2010
Last updated
04/14/2010
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