Organization · Type 2 NPI

Kickapoo Traditional Tribe of Texas

Federal Public Health Clinic/Center · Eagle Pass, TX

NPI number 1821159518 Active

Practice location

2192 Rosita Valley Road
Eagle Pass, TX 78852-9752

Call (830) 421-5349 Map

Fax (830) 757-5193

Mailing address

2192 Rosita Valley Rd
Eagle Pass, TX 78852-2542

Specialties and licenses

Taxonomy	Code	License
Health Service Clinic/Center	261QH0100X	None listed
Federal Public Health Clinic/Center Primary	261QP0904X	None listed

Federal Public Health Clinic/Center: Definition to come...

NPI record

NPI: 1821159518
Entity type: Organization (Type 2)
Issued: Dec 13, 2006
Last updated: Oct 1, 2026
Status: Active

Other names

<unavail>
Texas Band of Kickapoo · former legal business name
Texas Band of Kickapoo · former legal business name

Authorized official

Cynthia Rivera
Office Manager
(830) 421-5926

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1821159518

Kickapoo Traditional Tribe of Texas's National Provider Identifier is 1821159518, issued on Dec 13, 2006. The primary taxonomy on file is Federal Public Health Clinic/Center (261QP0904X), and the practice location is in Eagle Pass, TX. The record was last updated on Oct 1, 2026.