MAVERICK COUNTY MEDICAL FAMILY CENTER NPI 1467583286

NPI Information

NPI: 1467583286
Provider Name: MAVERICK COUNTY MEDICAL FAMILY CENTER
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
590 E MAIN ST STE A
EAGLE PASS, TX
ZIP 78852
Phone: (830) 773-3331
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MAVERICK COUNTY MEDICAL FAMILY CENTER is a primary care clinic center in Eagle Pass, TX. MAVERICK COUNTY MEDICAL FAMILY CENTER NPI is 1467583286. The provider is registered as an organization entity type.

The provider's business location address is:

590 E MAIN ST STE A
EAGLE PASS, TX
ZIP 78852-773
Phone: (830) 773-3331
Fax: (830) 773-2981

The provider's authorized official is Elizabeth Sosa .
The authorized official title is Credentialing And Enrollment Manage and has the following contact phone number (508) 213-1947.

The enumeration date for this NPI number is 3/7/2007 and was last updated on 11/10/2021.

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	305R00000X	Preferred Provider Organization				No
2	261QP2300X	Clinic/Center	Primary Care			Yes

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	12848606	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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