EAGLE PASS PEDIATIC HEALTH CLINIC
NPI 1730204264
Specialist in Eagle Pass, TX

Q: What is Pediatric Specialty Rural Health Clinic's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since March 21, 2007

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

NPPES record last updated: November 3, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Eagle Pass Pediatic Health Clinic NPPES

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

EAGLE PASS PEDIATIC HEALTH CLINIC (NPI 1730204264) is a healthcare organization registered as a specialist 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

NPI1730204264

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NamePEDIATRIC SPECIALTY RURAL HEALTH CLINIC

Location Address710 WILLIAMS STEagle Pass, TX 78852-5126

Mailing AddressPo Box 2368Eagle Pass, TX 78853-2368 · (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 21, 2007

Last NPPES UpdateNovember 3, 2010

✔ NPI 1730204264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in TX · F3442

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

710 WILLIAMS ST, Eagle Pass, TX 78852

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Other Names 1

Doing Business AsEagle Pass Pediatic Health Clinic

Other Identifiers 5

Medicare UPINC15128TX

Other1851486500TX · Dr Ricardo De Los Santos

Other1124150024TX · Deborah A. Thomson Pac

Other1841347838TX · Dr Wendy W. Pitt

Medicaid018235401TX

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

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)