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Organization

UNITED MEDICAL CENTERS

Active
Parent organization
UNITED MEDICAL CENTERS
Other names
Northside Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
UNITED MEDICAL CENTERS
Authorized official
WILLIAM WORRELL (CEO)
(830) 773-8917
Entity
Organization

Contact information

Practice address
3809 VETERANS BLVD, DEL RIO, TX 78840-2860
(830) 488-6961
(866) 714-1737
Mailing address
PO BOX 1470, EAGLE PASS, TX 78853-1470
(830) 773-8917
(830) 773-1892

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
207Q00000X
Family Medicine Physician
208D00000X
General Practice Physician
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
363A00000X
Physician Assistant
363LF0000X
Family Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1378093-02
TX
05
508779301
TX
Enumeration date
09/09/2024
Last updated
04/15/2026
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