| El Indio Hwy Clinic | |
|
4018 El Indio Hwy Eagle Pass TX 78852-6690 | |
| (830) 872-3460 | |
| (830) 872-3470 |
| Full Name | El Indio Hwy Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 4018 El Indio Hwy, Eagle Pass, Texas |
| Authorized Official Name and Position | Rafael E Olvera (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8307738917 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| El Indio Hwy Clinic Po Box 1470 Eagle Pass TX 78853-1470 Ph: (830) 773-8917 | El Indio Hwy Clinic 4018 El Indio Hwy Eagle Pass TX 78852-6690 Ph: (830) 872-3460 |
| NPI Number | 1821411224 |
|---|---|
| Provider Enumeration Date | 01/22/2014 |
| Last Update Date | 11/16/2023 |
| Certification Date | 11/16/2023 |
| Medicare PECOS PAC ID | 7618957135 |
|---|---|
| Medicare Enrollment ID | O20140422001428 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821411224 | NPI | - | NPPES |
| 137809314 (FQHC SITE | Medicaid | TX | |
| 137809302 (GROUPALL) | Medicaid | TX |
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