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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 Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for THE EAGLE FORD CLINICS, PA

NPI Number 1568581775
LBN Legal business name THE EAGLE FORD CLINICS, PA
Authorized official SURESH DUTTA - (MD/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/28/2007
Last updated 03/16/2016 - About 10 years ago
Identifiers
TX Medicaid 187810001
TX Other 0057PD BCBS GRP NUMBER
TX Other 00X375 MEDICARE GROUP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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