SAUCEDO FAMILY CARE PLLC NPI 1669912804

NPI Information

NPI: 1669912804
Provider Name: SAUCEDO FAMILY CARE, PLLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 45D2154328

Address:
2423 2ND ST STE A
EAGLE PASS, TX
ZIP 78852
Phone: (830) 335-2552
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SAUCEDO FAMILY CARE, PLLC is a primary care clinic center in Eagle Pass, TX. SAUCEDO FAMILY CARE, PLLC NPI is 1669912804. The provider is registered as an organization entity type.

The provider's business location address is:

2423 2ND ST STE A
EAGLE PASS, TX
ZIP 78852-118
Phone: (830) 335-2552
Fax: (830) 335-2580

The provider's authorized official is Juan Saucedo .
The authorized official title is Owner and has the following contact phone number (830) 335-2552.

The CLIA number assigned to this NPI record is 45D2154328 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/7/2017 and was last updated on 11/7/2022.

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	261QP2300X	Clinic/Center	Primary Care	J2303	TEXAS	Yes

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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