| University Medical Center - Fabens | |
|
101 Potasio Fabens TX 79838-3940 | |
| (915) 544-1200 | |
| (915) 521-7920 |
| Full Name | University Medical Center - Fabens |
|---|---|
| Speciality | Clinic/Center |
| Location | 101 Potasio, Fabens, Texas |
| Authorized Official Name and Position | Robert J Cintron (CEO) |
| Authorized Official Contact | 9155217600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Medical Center - Fabens 101 Potasio Fabens TX 79838-3940 Ph: (915) 544-1200 | University Medical Center - Fabens 101 Potasio Fabens TX 79838-3940 Ph: (915) 544-1200 |
| NPI Number | 1811135080 |
|---|---|
| Provider Enumeration Date | 01/27/2009 |
| Last Update Date | 10/17/2019 |
| Medicare PECOS PAC ID | 2365431509 |
|---|---|
| Medicare Enrollment ID | O20080324000196 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811135080 | NPI | - | NPPES |
| 092072001 | Medicaid | TX | |
| 092072002 | Medicaid | TX | |
| 458619 | Other | TX | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 00263 (Texas) | Primary |
Project Vida Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Potasio, Fabens, TX 79838 Phone: 915-532-5454 |