Primary Care of Eagle Pass PLLC
NPI 1043901788ActiveOrganization· Family Medicine· Eagle Pass, TX
Family Medicine in Eagle Pass, Texas, registered in NPPES in May 2023. The authorized official on file is David W. Chisum, MD, Sole Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1043901788 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 15, 2023 |
| Last updated in NPPES | Sep 26, 2023 |
| Certified by provider | Sep 26, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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