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EAGLE PASS PEDIATRIC HEALTH CLINIC
NPI 1043472780
Clinic/Center - Rural Health in Eagle Pass, TX

Active since June 25, 2008CLIA 45D2290044 · Waiver
710 WILLIAMS ST, EAGLE PASS, TX 78852(830) 773-1103(830) 757-8366 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 6, 2023, Aug 15, 2018 (2 updates tracked since 2018).

About Eagle Pass Pediatric Health Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAGLE PASS PEDIATRIC HEALTH CLINIC (NPI 1043472780) is a healthcare organization registered as a rural health in Eagle Pass, Texas and active in the NPI registry since June 2008. The organization holds a CLIA Waiver certificate valid through September 18, 2027, maintains a secondary practice location in Eagle Pass, and lists Debra W. De Los Santos, Ceo, as its authorized official.

NPPES Registry Identity

NPI1043472780
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameEAGLE PASS PEDIATRIC HEALTH CLINIC
Location Address710 WILLIAMS STEagle Pass, TX 78852
Mailing Address710 Williams StEagle Pass, TX 78852-5126 · (830) 773-1103 · Fax (830) 757-8366
Phone(830) 773-1103
Fax(830) 757-8366
Organization SubpartNo
Authorized OfficialDebra W. De Los SantosCeo · (830) 773-1103
Enumeration DateJune 25, 2008
Last NPPES UpdateApril 6, 20232 updates tracked since enumeration
NPPES CertifiedApril 6, 2023
✔ NPI 1043472780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
710 WILLIAMS ST, Eagle Pass, TX 78852
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Secondary Practice Location 1

Location 1710 Williams StEagle Pass, TX 78852-5126 · Phone (830) 773-1103 · Fax (830) 757-8366

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2290044

Eagle Pass Pediatric Health Clinic · Eagle Pass, TX
Active · expires Sep 18, 2027
CLIA Number45D2290044
Laboratory TypeRural Health Clinic
Certificate Effective DateSeptember 19, 2025
Certificate Expiration DateSeptember 18, 2027
Laboratory DirectorRicardo De Los Santos
Laboratory Phone(830) 773-1103
Laboratory LocationEagle Pass Pediatric Health Clinic710 Williams St, Eagle Pass, TX 78852
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEDIATRIC SPECIALTY RURAL HEALTH CLINIC, LTD.
Clinic/Center (Rural Health)
710 WILLIAMS ST
EAGLE PASS, TX 78852
Maverick County (830) 773-1103
VALERIA FERNANDA GARZA
Physician Assistant (Medical)
710 WILLIAMS ST
EAGLE PASS, TX 78852
Maverick County (830) 773-1103
PEDIATRIC SPECIALTY RURAL HEALTH CLINIC
Specialist
710 WILLIAMS ST
EAGLE PASS, TX 78852
Maverick County (830) 773-1103
RICARDO DE LOS SANTOS M.D.
Pediatrics
710 WILLIAMS ST
EAGLE PASS, TX 78852
Maverick County (830) 773-1103
PEDIATRIC SPECIALTY RURAL HEALTH CLINIC,LTD
Clinic/Center
710 WILLIAMS ST
EAGLE PASS, TX 78852
Maverick County (830) 773-1103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eagle Pass Pediatric Health Clinic's NPI number?

The NPI number for Eagle Pass Pediatric Health Clinic is 1043472780. It was assigned to this organization in the NPPES registry on June 25, 2008.

Where is Eagle Pass Pediatric Health Clinic located?

Eagle Pass Pediatric Health Clinic is located at 710 Williams St, Eagle Pass, TX 78852. The listed phone number is (830) 773-1103.

What is Eagle Pass Pediatric Health Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Eagle Pass Pediatric Health Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2290044) is associated with this NPI, valid through September 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Eagle Pass Pediatric Health Clinic was last updated on April 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.