Pediatric Specialty Rural Health Clinic, Ltd.
NPI 1104958081 · Rural Health Clinic/Center · Eagle Pass, TX
Enrolled with Medicare as Part a Provider - Rural Health Clinic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pediatric Specialty Rural Health Clinic, Ltd. is a Rural Health Clinic/Center organization in Eagle Pass, TX (NPI 1104958081).
Provider details
- NPI number
- 1104958081
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Debra De Los Santos, Ceo(830) 773-1103
Specialties & taxonomies
Ambulatory Health Care Facilities
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Profile Score
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
Mailing address
Other names (DBA / former)
- Doing business as
- Eagle Pass Pediatric Health Clinic
Registry dates
- Enumerated
- 2007-03-09
- Last updated
- 2025-10-07
- Certified
- 2025-10-07
Frequently asked questions
- What is Pediatric Specialty Rural Health Clinic, Ltd.'s NPI number?
- Pediatric Specialty Rural Health Clinic, Ltd.'s National Provider Identifier (NPI) is 1104958081, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Specialty Rural Health Clinic, Ltd.?
- Pediatric Specialty Rural Health Clinic, Ltd. is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Pediatric Specialty Rural Health Clinic, Ltd. located?
- Pediatric Specialty Rural Health Clinic, Ltd.'s practice location on file with NPPES is 710 Williams St, Eagle Pass, TX 78852-5126.
- What is Pediatric Specialty Rural Health Clinic, Ltd.'s phone number?
- The practice phone number listed in the NPPES registry for Pediatric Specialty Rural Health Clinic, Ltd. is (830) 773-1103.
- Does Pediatric Specialty Rural Health Clinic, Ltd. accept Medicare?
- Pediatric Specialty Rural Health Clinic, Ltd. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pediatric Specialty Rural Health Clinic, Ltd.?
- The authorized official listed on Pediatric Specialty Rural Health Clinic, Ltd.'s NPPES record is Debra De Los Santos, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Specialty Rural Health Clinic, Ltd.'s NPI active?
- Yes — Pediatric Specialty Rural Health Clinic, Ltd.'s NPI (1104958081) is active in the NPPES registry as of the last update on 2025-10-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.