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YELED SHALOM PEDIATRIC CLINIC
NPI 1770540684
Clinic/Center - Rural Health in Eagle Pass, TX

Active since April 26, 2006CLIA 45D2246002 · Waiver
1975 N VETERANS BLVD, STE. 5, EAGLE PASS, TX 78852(830) 773-9449(830) 757-3142 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Yeled Shalom Pediatric Clinic NPPES

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

YELED SHALOM PEDIATRIC CLINIC (NPI 1770540684) is a healthcare organization registered as a rural health in Eagle Pass, Texas and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through December 19, 2027 and lists Eliezer Hernandez, Owner, as its authorized official.

NPPES Registry Identity

NPI1770540684
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameELIEZER HERNANDEZ MD P.A.
Location Address1975 N VETERANS BLVD, STE. 5Eagle Pass, TX 78852-4456
Mailing AddressPo Box 1145Eagle Pass, TX 78853-1145 · (830) 773-9449 · Fax (830) 757-3142
Phone(830) 773-9449
Fax(830) 757-3142
Organization SubpartNo
Authorized OfficialEliezer HernandezOwner · (830) 773-9449
Enumeration DateApril 26, 2006
Last NPPES UpdateNovember 25, 2024
NPPES CertifiedNovember 25, 2024
✔ NPI 1770540684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in TX · J6834
1975 N VETERANS BLVD, Eagle Pass, TX 78852
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Other Names 1

Doing Business AsYeled Shalom Pediatric Clinic

Other Identifiers 3

Medicaid063670601TX
Medicaid153805002TX
Medicaid153805001TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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 45D2246002

Yeled Shalom Pediatric Clinic · Eagle Pass, TX
Active · expires Dec 19, 2027
CLIA Number45D2246002
Laboratory TypeRural Health Clinic
Certificate Effective DateDecember 20, 2025
Certificate Expiration DateDecember 19, 2027
Laboratory DirectorEliezer Hernandez
Laboratory Phone(830) 773-9449
Laboratory LocationYeled Shalom Pediatric Clinic1975 N Veterans Blvd, Ste 7, 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 6

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

SOUTH TEXAS REGIONAL LABORATORIES INC
Clinical Medical Laboratory
1975 N VETERANS BLVD, SUITE 5
EAGLE PASS, TX 78852
Maverick County (210) 371-7888
DR. ELIEZER HERNANDEZ M.D.
Preferred Provider Organization
1975 N VETERANS BLVD, STE 5
EAGLE PASS, TX 78852
Maverick County (830) 773-9449
RUBEN BARRON D.D.S, P.C.
Dentist (General Practice)
1975 N VETERANS BLVD, SUITE 4
EAGLE PASS, TX 78852
Maverick County (830) 773-8528
ADVACE CARDIOLOGY GROUP PA
Internal Medicine (Cardiovascular Disease)
1975 N VETERANS BLVD, SUITE 8
EAGLE PASS, TX 78852
Maverick County (830) 776-5818
ALAMILLO FAMILY PRACTICE PLLC
Clinic/Center (Primary Care)
1975 N VETERANS BLVD, SUITE 6
EAGLE PASS, TX 78852
Maverick County (830) 758-1633
DE LEON FAMILY PRACTICE PLLC
Clinic/Center (Primary Care)
1975 N VETERANS BLVD, SUITE 6
EAGLE PASS, TX 78852
Maverick County (830) 758-1633

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 Eliezer Hernandez MD P.A.'s NPI number?

The NPI number for Eliezer Hernandez MD P.A. is 1770540684. It was assigned to this organization in the NPPES registry on April 26, 2006. The provider is doing business as Yeled Shalom Pediatric Clinic.

Where is Eliezer Hernandez MD P.A. located?

Eliezer Hernandez MD P.A. is located at 1975 N Veterans Blvd Ste. 5, Eagle Pass, TX 78852. The listed phone number is (830) 773-9449.

What is Eliezer Hernandez MD P.A.'s specialty?

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

Does Eliezer Hernandez MD P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2246002) is associated with this NPI, valid through December 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Eliezer Hernandez MD P.A. accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Eliezer Hernandez MD P.A. 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 Eliezer Hernandez MD P.A. was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.