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PEDIATRIC SPECIALTY RURAL HEALTH CLINIC, LTD.
NPI 1104958081
Clinic/Center - Rural Health in Eagle Pass, TX

Active since March 09, 2007
710 WILLIAMS ST, EAGLE PASS, TX 78852(830) 773-1103(830) 757-8366 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2025, Apr 6, 2023, Aug 14, 2018 and 3 more (6 updates tracked since 2015).

About Pediatric Specialty Rural Health Clinic, Ltd. NPPES

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

PEDIATRIC SPECIALTY RURAL HEALTH CLINIC, LTD. (NPI 1104958081), doing business as Eagle Pass Pediatric Health Clinic, is a healthcare organization registered as a rural health in Eagle Pass, Texas and active in the NPI registry since March 2007. The organization lists Debra W De Los Santos, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104958081
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePEDIATRIC SPECIALTY RURAL HEALTH CLINIC, LTD.
Location Address710 WILLIAMS STEagle Pass, TX 78852-5126
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 DateMarch 9, 2007
Last NPPES UpdateOctober 7, 20256 updates tracked since enumeration
NPPES CertifiedOctober 7, 2025
✔ NPI 1104958081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in TX · F3442
Also ListedPediatricsTaxonomy 208000000X
710 WILLIAMS ST, Eagle Pass, TX 78852
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Other Names 1

Doing Business AsEagle Pass Pediatric Health Clinic

Other Identifiers 1

Medicaid121077504TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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.

EAGLE PASS PEDIATRIC HEALTH CLINIC
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 Pediatric Specialty Rural Health Clinic, Ltd.'s NPI number?

The NPI number for Pediatric Specialty Rural Health Clinic, Ltd. is 1104958081. It was assigned to this organization in the NPPES registry on March 9, 2007. The provider is doing business as Eagle Pass Pediatric Health Clinic.

Where is Pediatric Specialty Rural Health Clinic, Ltd. located?

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

What is Pediatric Specialty Rural Health Clinic, Ltd.'s specialty?

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

What insurance does Pediatric Specialty Rural Health Clinic, Ltd. accept?

Health plans from UnitedHealthcare list Pediatric Specialty Rural Health Clinic, Ltd. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pediatric Specialty Rural Health Clinic, Ltd. was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.