| San Felipe Clinic | |
|
1117 W De La Rosa St Del Rio TX 78840-6224 | |
| (830) 768-4800 | |
| (830) 768-4844 |
| Full Name | San Felipe Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1117 W De La Rosa St, Del Rio, 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 |
|---|---|
| San Felipe Clinic Po Box 1470 Eagle Pass TX 78853-1470 Ph: (830) 773-8917 | San Felipe Clinic 1117 W De La Rosa St Del Rio TX 78840-6224 Ph: (830) 768-4800 |
| NPI Number | 1629320221 |
|---|---|
| Provider Enumeration Date | 10/05/2012 |
| Last Update Date | 11/16/2023 |
| Certification Date | 11/16/2023 |
| Medicare PECOS PAC ID | 7618957135 |
|---|---|
| Medicare Enrollment ID | O20140602000691 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629320221 | NPI | - | NPPES |
| 137809302 | Medicaid | TX | |
| 137809313 (FQHC SITE | Medicaid | TX |
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