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1245581156

NPI Code Detail

MEDICARE: UNITED MEDICAL CENTERS

MEDICARE: UNITED MEDICAL CENTERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	1041C0700X	Clinical Social Worker
3	207Q00000X	Family Medicine Physician
4	207RI0011X	Interventional Cardiology Physician
5	207V00000X	Obstetrics & Gynecology Physician
6	207Y00000X	Otolaryngology Physician		TX
7	208000000X	Pediatrics Physician
8	208D00000X	General Practice Physician
9	213E00000X	Podiatrist
10	363A00000X	Physician Assistant
11	363LF0000X	Family Nurse Practitioner
12	363LW0102X	Women's Health Nurse Practitioner
13	261QF0400X	Federally Qualified Health Center (FQHC)		TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245581156
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITED MEDICAL CENTERS

Provider Business Mailing Address
First Line	:	PO BOX 1470
Second Line	:
City	:	EAGLE PASS
State	:	TX
Zip	:	78853-1470
Country	:	US
Telephone Number	:	830-773-8917
Fax Number	:	830-773-1892

Provider Business Practice Location Address
First Line	:	1175 EIDSON RD
Second Line	:
City	:	EAGLE PASS
State	:	TX
Zip	:	78852-5403
Country	:	US
Telephone Number	:	830-757-6946
Fax Number	:	830-757-5850

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	MR. RAFAEL E OLVERA
Credential	:	MBA
Telephone Number	:	830-773-8917

Provider Enumeration Date	:	10/02/2012
Last Update Date	:	11/16/2023

Similar Medicare Providers

1063377299 — SAMANTHA G EDWIN PA-C
Practice Location Address:

1175 EIDSON RD
EAGLE PASS, TX
78852-5403

Practice Phone: 830-757-6946
Practice Fax:

1427233790 — DR. ANGELA LYNN SCHLADOER D.P.M.
Practice Location Address:

1175 EIDSON RD
EAGLE PASS, TX
78852-5403

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1912205832 — MRS. ELIZABETH MARIE MARTINEZ-ALAMILLO PA-C
Practice Location Address:

1175 EIDSON RD
EAGLE PASS, TX
78852-5403

Practice Phone: 830-757-6946
Practice Fax: 830-757-5850

1275962508 — MS. MARIA IREN CRETICIO-GARZA MSN CPNP
Practice Location Address:

1175 EIDSON RD
EAGLE PASS, TX
78852-5403

Practice Phone: 830-757-6946
Practice Fax: 830-757-5850

1447884036 — GARRY W MAGPILY FNP
Practice Location Address:

1175 EIDSON RD
EAGLE PASS, TX
78852-5403

Practice Phone: 830-757-6946
Practice Fax: 830-757-5850

1578219010 — ABIGAIL NAOMI HERNANDEZ DNP, FNP-BC
Practice Location Address:

1175 EIDSON RD
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Practice Phone: 830-757-6946
Practice Fax:

Directions to “UNITED MEDICAL CENTERS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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