| Maverick County Medical Family Center | |
|
590 E Main St Ste A Eagle Pass TX 78852-4773 | |
| (830) 773-3331 | |
| (830) 773-2981 |
| Full Name | Maverick County Medical Family Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 590 E Main St Ste A, Eagle Pass, Texas |
| Authorized Official Name and Position | Elizabeth Sosa (CREDENTIALING AND ENROLLMENT MANAGE) |
| Authorized Official Contact | 5082131947 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maverick County Medical Family Center 2239 Acapulco Dr Eagle Pass TX 78852-4101 Ph: (210) 394-9171 | Maverick County Medical Family Center 590 E Main St Ste A Eagle Pass TX 78852-4773 Ph: (830) 773-3331 |
| NPI Number | 1467583286 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 11/10/2021 |
| Medicare PECOS PAC ID | 2264563816 |
|---|---|
| Medicare Enrollment ID | O20100626000335 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467583286 | NPI | - | NPPES |
| 12848606 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 305R00000X | Preferred Provider Organization | (* (Not Available)) | Secondary |
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