Organization
KICKAPOO TRADITIONAL TRIBE OF TEXAS
Active
Other names
Texas Band of Kickapoo
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA RIVERA (OFFICE MANAGER)
(830) 421-5926
Entity
Organization
Contact information
Practice address
2192 ROSITA VALLEY ROAD, EAGLE PASS, TX 78852-9752
(830) 421-5349
(830) 757-5193
Mailing address
2192 ROSITA VALLEY RD, EAGLE PASS, TX 78852-2542
(830) 421-5930
(830) 752-6033
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200158801
—
TX
01
—
HSZ222
MEDICARE
TX
Enumeration date
12/13/2006
Last updated
03/18/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up