Basic Information
| Provider Information | |||||||||
| NPI: | 1437698156 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | UVALDE COUNTY HOSPITAL AUTHORITY DBA SABINAL HEALTH CLINIC | ||||||||
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| OtherOrganizationName: | SABINAL HEALTH CLINIC | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1195 GARNER FIELD RD | ||||||||
| Address2: | STE 300 | ||||||||
| City: | UVALDE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 788014820 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8302783086 | ||||||||
| FaxNumber: | 8302788873 | ||||||||
| Practice Location | |||||||||
| Address1: | 517 N CENTER ST | ||||||||
| Address2: | |||||||||
| City: | SABINAL | ||||||||
| State: | TX | ||||||||
| PostalCode: | 78881 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8309882582 | ||||||||
| FaxNumber: | 8309882580 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/14/2017 | ||||||||
| LastUpdateDate: | 02/14/2017 | ||||||||
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| AuthorizedOfficialLastName: | NUTT | ||||||||
| AuthorizedOfficialFirstName: | BRANDI | ||||||||
| AuthorizedOfficialMiddleName: | K | ||||||||
| AuthorizedOfficialTitleorPosition: | PHYSICIAN PRACTICE DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 8302783086 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QR1300X | TX | Y | Ambulatory Health Care Facilities | Clinic/Center | Rural Health |
No ID Information.