P Praxis·MD
● Active Type 2 · Organization

Kickapoo Traditional Tribe Of Texas

Clinic/Center·Eagle Pass, TX· NPI 1821159518 · Enumerated 2006 · 19 years on NPI
Kickapoo Traditional Tribe Of Texas is 1 of 674 clinic/center organizations in Texas.
NPI age
19 years
Enumerated 2006-12-13
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Rivera
Office Manager
Last NPPES update
2026-03-18
Source: monthly bulk 2026-05

How this organization compares

Across 674 active clinic/center providers in Texas.

NPI age
19 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-12Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
2192 Rosita Valley Road
Eagle Pass, TX 788529752
📞 8304215349fax 8307575193
Mailing address
2192 Rosita Valley Rd
Eagle Pass, TX 788522542
📞 8304215930fax 8307526033

Authorized official

Cynthia Rivera
Office Manager
📞 8304215926

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QH0100X

Identifiers

TypeValueNotes
01 (TX) HSZ222 MEDICARE
05 (TX) 200158801

Other names on file (2)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Texas Band of Kickapoo
    Type code 4 recorded 2023-03-14
  • Texas Band of Kickapoo
    Type code 4 recorded 2015-03-03

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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