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Organization

CHILDRENS CLINIC OF DIMMIT AND ZAVALA PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ABELARDO SABANGAN DORIA MD (PRESIDENT)
(830) 876-9870
Entity
Organization

Contact information

Practice address
1313 VETERANS AVENUE, SUITE C, CRYSTAL CITY, TX 78839
(830) 374-4436
(830) 374-4437
Mailing address
403 S 7TH ST, CARRIZO SPRINGS, TX 78834-3805
(830) 876-9870
(830) 876-3661

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0021DU
BCBS
TX
05
111931501
TX
01
488962
MEDICARE PART B
TX
Enumeration date
08/10/2006
Last updated
02/03/2026
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