Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Pediatric Specialty Rural Health Clinic, Ltd

Organization Pediatrics Physician · NPI 1104958081

Pediatric Specialty Rural Health Clinic, Ltd provides Pediatrics Physician services 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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