National Provider Identifier Database

THE EAGLE FORD CLINICS PA
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

THE EAGLE FORD CLINICS, PA
111 E. MILLER ST.
DILLEY, TX78017
Phone: 830-965-1684
Fax: 830-965-1278
Website:
Specialty Taxonomy Code
* General Practice 208D00000X
Family Medicine 207Q00000X

* Indicates primary specialty

NPI Profile & details for THE EAGLE FORD CLINICS, PA

NPI Number 1568581775
Legal business name
LBN
THE EAGLE FORD CLINICS, PA
Authorized official SURESH DUTTA - (MD/OWNER)
Entity Organization
Organization subpart No
Enumeration date 03/28/2007
Last updated 03/16/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • TX Medicaid: 187810001
  • TX Other: 0057PD BCBS GRP NUMBER
  • TX Other: 00X375 MEDICARE GROUP

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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