Organization
UNITED MEDICAL CENTERS
Active
Parent organization
UNITED MEDICAL CENTERS
Other names
Kids Corner Pediatrics by United Medical Centers
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNITED MEDICAL CENTERS
Authorized official
WILLIAM WORRELL (CEO)
(830) 773-8917
Entity
Organization
Contact information
Practice address
2198 E GARRISON ST, EAGLE PASS, TX 78852-5076
(830) 773-7662
(830) 773-7664
Mailing address
PO BOX 1470, EAGLE PASS, TX 78853-1470
(830) 773-8917
(830) 773-6432
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1378093-02
—
TX
Enumeration date
05/07/2025
Last updated
04/15/2026
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