Provider Demographics
NPI:1689924904
Name:RABAGOS HEALTH CARE PLLC
Entity Type:Organization
Organization Name:RABAGOS HEALTH CARE PLLC
Other - Org Name:STATCARE MINOR EMERGENCY CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:C
Authorized Official - Last Name:RABAGOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-960-4000
Mailing Address - Street 1:500 E CAESAR AVE
Mailing Address - Street 2:
Mailing Address - City:KINGSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78363-6322
Mailing Address - Country:US
Mailing Address - Phone:361-516-0800
Mailing Address - Fax:361-516-0855
Practice Address - Street 1:500 E CAESAR AVE
Practice Address - Street 2:
Practice Address - City:KINGSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78363
Practice Address - Country:US
Practice Address - Phone:361-516-0800
Practice Address - Fax:361-518-0855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-13
Last Update Date:2021-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care