● 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
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
| Type | Value | Notes |
| 01 (TX) |
HSZ222 |
MEDICARE |
| 05 (TX) |
200158801 |
|
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Single-site organization. Only one practice location on file.
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How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.