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Organization

FORT DUNCAN MEDICAL CENTER LP

Active
Other names
Fort Duncan Regional Medical Center ER Physician Group
Organization subpart
No

Provider details

NPI number
Authorized official
STEVE FILTON (CFO, SENIOR VP)
(610) 768-3300
Entity
Organization

Contact information

Practice address
3333 N FOSTER MALDONADO BLVD, EAGLE PASS, TX 78852
(830) 773-5321
Mailing address
3333 N FOSTER MALDONADO BLVD, EAGLE PASS, TX 78852
(830) 773-5321

Taxonomy

Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
547
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0025EZ
BCBS OF TX
TX
05
1108037-02
TX
Enumeration date
11/02/2005
Last updated
01/24/2022
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