THE EAGLE FORD CLINICS, PA (NPI# 1568581775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568581775 |
Entity Type | Organization |
Organization Name | THE EAGLE FORD CLINICS, PA |
Other Organization Name | HOOD MEDICAL CLINICS |
Practice Address |
111 E. Miller St. Dilley TX 78017 |
Practice Telephone | 8309651684 |
Practice Fax Number | 8309651278 |
Mailing Telephone | 8309651684 |
Mailing Fax Number | 8309651278 |
Enumeration Date | 2007-03-28 |
Last Update Date | 2016-03-16 |
Authorized Official Name | SURESH V DUTTA JR. (MD/OWNER) |
Authorized Official Telephone | 8309651684 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | MEDICARE GROUP | 00X375 | 01 |
TX | BCBS GRP NUMBER | 0057PD | 01 |
TX | 187810001 | 05 |
Other Name | Type Code |
---|---|
Hood Medical Clinics | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326029844 | The Eagle Ford Clinics, Pa | Clinic/Center | 207 Tilden, Cotulla, TX 78014-2161 | 2005-11-10 |
1346221868 | The Eagle Ford Clinics, Pa | Clinic/Center | 325 N Cherry St, Pearsall, TX 78061-2509 | 2005-11-10 |
1023099546 | The Eagle Ford Clinics, Pa | Clinic/Center | 111 E Miller St, Dilley, TX 78017-3912 | 2005-11-10 |
Street Address |
111 E. MILLER ST. |
City | DILLEY |
State | TX |
Zip Code | 78017 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255977211 | Frio Hospital Association | Clinic/Center | 801 Fm W 117, Dilley, TX 78017 | 2019-11-25 |
1700085859 | Alicia E Mills | Pediatrics | 1925 West Highway 85, South Texas Family Residential Center, Dilley, TX 78017 | 2007-07-17 |
1790808723 | Dilley Isd | Local Education Agency (LEA) | 245 Highway 117, Dilley, TX 78017 | 2007-04-06 |
1831226976 | Cliff Patrick Watkins | Dentist | 105 East Miller Street, Dilley, TX 78017 | 2007-02-27 |
1215574959 | Frio Hospital Association | Clinic/Center | 801 Fm W 117, Dilly, TX 78017 | 2019-12-02 |
1649677519 | An Nguyen | Pharmacist | 1925 West Highway 85, Dilley, TX 78017 | 2014-11-20 |
1346297439 | Herbert I Garfield | Clinic/Center | 205 N Commerce St, Dilley, TX 78017-3500 | 2006-05-27 |
1538486790 | Hometown Healthcare LLC | Clinic/Center | 205 N Commerce St, Dilley, TX 78017-3500 | 2010-04-28 |
1932205218 | Texas Durable Medical Equipment, Inc | Durable Medical Equipment & Medical Supplies | 113 S Commerce, Dilley, TX 78017-3501 | 2006-09-15 |
1548591753 | South Texas Rural Health Services, Inc. | Clinic/Center | 606 W Leona St, Dilley, TX 78017-3705 | 2010-01-28 |
Find all providers in zip 78017 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578763314 | James Mashburn Fitts | General Practice | 1459 W Highway 85, Dilley, TX 78017-4601 | 2007-07-19 |
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Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.