| Organization Name: | THE EAGLE FORD CLINICS, PA |
| NPI Number: | 1023099546 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SURESH V DUTTA (OWNER) |
| Mailing Address: | 111 E Miller St Dilley |
| State: | TX US |
| Postal Code: | 780173912 |
| Phone Number: | 8309651684 |
| Fax Number: | 8309651278 |
| NPI Enumeration Date: | 11/10/2005 |
| NPI Last Update Date: | 04/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |