Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pediatric Specialty Rural Health Clinic, Ltd

Organization Pediatrics Physician · NPI 1104958081

Pediatric Specialty Rural Health Clinic, Ltd is a Pediatrics Physician in Eagle Pass, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
Specialties on file
2
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

710 Williams St
Eagle Pass, TX 78852-5126
Phone: (830) 773-1103
Fax: (830) 757-8366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X · Licence F3442 (TX)
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1104958081
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Debra De Los Santos — Ceo · (830) 773-1103
Other names Eagle Pass Pediatric Health Clinic
NPI enumeratedMarch 9, 2007
Last updated in NPPESOctober 7, 2025
Certification dateOctober 7, 2025
Mailing address710 Williams St, Eagle Pass, TX 78852-5126

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