OrganizationActive
Pediatric Specialty Rural Health Clinic
NPI 1730204264 · Specialist · Eagle Pass, TX
Provider details
- NPI number
- 1730204264
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Debra De Los Santos, Ceo(830) 773-1103
- License
- F3442 (TX)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(89/100 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
710 Williams St
Eagle Pass, TX 78852-5126
Phone: (830) 773-1103
Fax: (830) 757-8366
Street-level locationGet directions
Mailing address
Po Box 2368
Eagle Pass, TX 78853-2368
Other names (DBA / former)
- Doing business as
- Eagle Pass Pediatic Health Clinic
Registry dates
- Enumerated
- 2007-03-21
- Last updated
- 2010-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.