FDMC CRNA Group – Nutrition Education Nutritionist, NPI 1194772186

Nutrition Education Nutritionist

FDMC CRNA Group is a healthcare provider. based in Eagle pass, Texas. specializing in Nutrition Education Nutritionist. The organization holds a License No. 000547 (TX). The NPI Number for FDMC CRNA Group is 1194772186

Main info

Organization

Name

FDMC CRNA Group

NPI

1194772186

Phone

(830) 773-5321

Address

350 S ADAMS ST

Authorized Official

MR. ALFREDO ONTIVEROS JR. CEO/MANAGING DIRECTOR

Enumeration Date

27 May 2006

Last Update Date

11 September 2025

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience63

Completeness90

Years active:20State licenses:2Digital endpoints

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Provider Addresses for FDMC CRNA Group

350, South Adams Street, Eagle Pass, Maverick County, Texas, 78852, United States
EAGLE PASS, TX 788525110
Phone: (830) 773-5321
Fax: (830) 758-4872
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78852)

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Reviews

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Frequently asked questions

How do I look up FDMC CRNA Group by NPI?

Use NPI 1194772186 when you need to reference FDMC CRNA Group in forms, claims, or directories.

Is FDMC CRNA Group's enrollment marked active?

An active flag here means the NPI record is not in a deactivated state.

Does FDMC CRNA Group list a primary specialty?

If you are matching referrals, note Nutrition Education Nutritionist for FDMC CRNA Group. Clinical services aligned with this taxonomy classification.

Where is FDMC CRNA Group's primary listing?

We display Eagle Pass, Texas because that is what the record indicates for FDMC CRNA Group.

Is this NPI for an individual or an organization?

This listing corresponds to an Organization.