Ceniza Hills Rural Health Clinic | |
1300 N Bedell Ave Del Rio TX 78840-7818 | |
(830) 775-0512 | |
(830) 775-1888 |
Full Name | Ceniza Hills Rural Health Clinic |
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Speciality | General Practice |
Location | 1300 N Bedell Ave, Del Rio, Texas |
Authorized Official Name and Position | Conrado G. Galindo (OWNER/PHYSICIAN) |
Authorized Official Contact | 8307750512 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Ceniza Hills Rural Health Clinic 1300 N Bedell Ave Del Rio TX 78840-7818 Ph: (830) 775-0512 | Ceniza Hills Rural Health Clinic 1300 N Bedell Ave Del Rio TX 78840-7818 Ph: (830) 775-0512 |
NPI Number | 1205019601 |
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Provider Enumeration Date | 12/10/2007 |
Last Update Date | 08/29/2016 |
Medicare PECOS PAC ID | 9931379161 |
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Medicare Enrollment ID | O20110826000085 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205019601 | NPI | - | NPPES |
127293201 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | F0189 (Texas) | Primary |
Provider Name | Conrado G Galindo Iii |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083668818 PECOS PAC ID: 2466622691 Enrollment ID: I20110826000117 |
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