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General NPI Number Information
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NPI Number | 1275339459
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Entity Type | Organization
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Legal Business Name | HORIZON EAGLE PASS, LLC
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Dates
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Enumeration Date | 02/20/2025
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 2114 N VETERANS BLVD
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City | EAGLE PASS
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State | TX
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Zip | 78852-7718
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Country | US
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Telephone | 832-219-3147
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 790379
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City | SAINT LOUIS
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State | MO
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Zip | 63179-0379
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Country | US
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Telephone | 832-219-3147
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT, REVENUE CYCLE
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Name | MS. DARLEEN CALLAHAN
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Credential |
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Telephone | 607-437-7902
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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