Healthcare Provider Details

I. General information

NPI: 1275339459
Provider Name (Legal Business Name): HORIZON EAGLE PASS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2025
Last Update Date: 03/14/2025
Certification Date: 03/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2114 N VETERANS BLVD
EAGLE PASS TX
78852-7718
US

IV. Provider business mailing address

PO BOX 790379
SAINT LOUIS MO
63179-0379
US

V. Phone/Fax

Practice location:
  • Phone: 832-219-3147
  • Fax:
Mailing address:
  • Phone: 832-219-3147
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: MS. DARLEEN CALLAHAN
Title or Position: VICE PRESIDENT, REVENUE CYCLE
Credential:
Phone: 607-437-7902