Primary Care of Eagle Pass Pllc
NPI #1043901788 in Eagle Pass, Texas
Provider Information
- NPI Number
- 1043901788
- Entity Type
- Organization
- Organization Name
- Primary Care of Eagle Pass Pllc
- Primary Specialty
- Family Medicine
- Enumeration Date
- May 15, 2023
- Last Updated
- Sep 26, 2023
Practice Location
- Address
- 1975 N VETERANS BLVD STE 9
- City
- Eagle Pass
- State
- Texas
- ZIP Code
- 78852-4456
- Phone
- (830) 213-8186
Authorized Official
- Name
- DAVID W CHISUM, MD
- Title
- SOLE MEMBER
- Phone
- (830) 213-8186
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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