| NPI | 1851486500 |
|---|---|
| Doing Business As | D/B/A EAGLE PASS PEDIATRIC HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | DEBRA W DE LOS SANTOS CEO 830-773-1103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TX F3442) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2010-11-03 |