| NPI | 1730204264 |
|---|---|
| Doing Business As | EAGLE PASS PEDIATIC HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | DEBRA W DE LOS SANTOS CEO 830-773-1103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX F3442) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2010-11-03 |