OrganizationActive
Jackson County Hospital District
NPI 1073696357 · Pediatrics Physician · Ganado, TX
Provider details
- NPI number
- 1073696357
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Marcella Henke, Administrator/Ceo(361) 782-5241
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- General Practice Physician208D00000X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
202 S. Third Street
Ganado, TX 77962-1214
Phone: (361) 771-3571
Fax: (361) 771-3574
Street-level locationGet directions
Mailing address
1013 S Wells St
Edna, TX 77957-4098
Other names (DBA / former)
- Doing business as
- Jackson Medical Clinic of Ganado Physician Group
Registry dates
- Enumerated
- 2006-10-23
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.