Organization
ATASCOSA HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LETICIA LYNN TACKITT (CREDENTIALING)
(830) 569-8940
Entity
Organization
Contact information
Practice address
310 W OAKLAWN RD, PLEASANTON, TX 78064-4033
(830) 569-2527
(830) 569-8574
Mailing address
310 W OAKLAWN RD, PLEASANTON, TX 78064-4033
(830) 569-8940
(830) 224-6905
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
TX
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
11/22/2005
Last updated
04/09/2026
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