ENCINA PEDIATRICS AND PRIMARY CARE NPI 1073882023

NPI Information

NPI: 1073882023
Provider Name: ENCINA PEDIATRICS AND PRIMARY CARE
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 45D2033583

Address:
1 TANGLEWOOD ST
UVALDE, TX
ZIP 78801
Phone: (210) 440-2880
Get Directions

ENCINA PEDIATRICS AND PRIMARY CARE is a rural health clinic center in Uvalde, TX. ENCINA PEDIATRICS AND PRIMARY CARE NPI is 1073882023. The provider is registered as an organization entity type.

The provider's business location address is:

1 TANGLEWOOD ST
UVALDE, TX
ZIP 78801-502
Phone: (210) 440-2880
Fax: (830) 591-0623

The provider's authorized official is Roy Antony Guerrero .
The authorized official title is Md/owner and has the following contact phone number (830) 278-1692.

The CLIA number assigned to this NPI record is 45D2033583 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/20/2011 and was last updated on 4/26/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes
2	363LP0200X	Nurse Practitioner	Pediatrics			No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4247611	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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