| Our Health - Dental | |
|
200 Evans St Uvalde TX 78801-5142 | |
| (830) 278-7105 | |
| (830) 278-1836 |
| Full Name | Our Health - Dental |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 200 Evans St, Uvalde, Texas |
| Authorized Official Name and Position | Mayela Castanon (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8302785604 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Our Health - Dental 908 Evans St Ste A Uvalde TX 78801-6052 Ph: (830) 278-5604 | Our Health - Dental 200 Evans St Uvalde TX 78801-5142 Ph: (830) 278-7105 |
| NPI Number | 1336265669 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 03/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336265669 | NPI | - | NPPES |
| 111438102 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | Z00FM205 (Texas) | Primary |
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