Organization Name:  FORT DUNCAN MEDICAL CENTER LP


Practice Location:
3333 N FOSTER MALDONADO BLVD  EAGLE PASS, TX 78852 US
Tel: 830-773-5321  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
N	261QA1903X	Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical	TX	547
Y	282N00000X	Hospitals General Acute Care Hospital	TX	547

Other Provider Identifiers:

Issuer	Number	State	Type
	110803703	TX	05
	137908305	TX	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin