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1710980669

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	1223G0001X	General Practice Dentistry		TX
3	208000000X	Pediatrics Physician		TX
4	363LP0200X	Pediatric Nurse Practitioner
5	103K00000X	Behavior Analyst
6	213E00000X	Podiatrist		TX
7	207V00000X	Obstetrics & Gynecology Physician		TX
8	208D00000X	General Practice Physician
9	207R00000X	Internal Medicine Physician		TX
10	363LW0102X	Women's Health Nurse Practitioner
11	207Q00000X	Family Medicine Physician		TX
12	363LF0000X	Family Nurse Practitioner
13	363A00000X	Physician Assistant
14	207RI0011X	Interventional Cardiology Physician
15	261QF0400X	Federally Qualified Health Center (FQHC)

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	:	1710980669
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	:	2525 N VETERANS BLVD
Second Line	:
City	:	EAGLE PASS
State	:	TX
Zip	:	78852-3302
Country	:	US
Telephone Number	:	830-773-5358
Fax Number	:	830-773-0258

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

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	01/09/2026

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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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