Organization
THE EAGLE FORD CLINICS, PA
Active
Other names
Hood Medical Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
SURESH DUTTA MD (OWNER)
(830) 965-1684
Entity
Organization
Contact information
Practice address
325 N CHERRY ST, PEARSALL, TX 78061-2509
(830) 334-8703
(830) 334-5792
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
—
135106604
—
TX
05
—
135106607
—
TX
Enumeration date
11/10/2005
Last updated
10/29/2014
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