Jackson Medical Clinic of Ganado – Pediatrics Physician, NPI 1588692370

Jackson Medical Clinic of Ganado is a healthcare provider. based in Edna, Texas. specializing in Pediatrics Physician. The NPI Number for Jackson Medical Clinic of Ganado is 1588692370

Main info

Organization
Name
Jackson Medical Clinic of Ganado
NPI
1588692370
Phone
(361) 782-5241
Address
1013 S WELLS ST
Authorized Official
MS. MARCELLA VANA HENKE ADMINISTRATOR/CEO
Enumeration Date
29 June 2006
Last Update Date
11 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness90
Years active:19State licenses:0Digital endpoints

Provider Addresses for Jackson Medical Clinic of Ganado

  • Jackson County Hospital, 1013, South Wells Street, Edna, Jackson County, Texas, 77957, United States

    EDNA, TX 779574098

    Phone: (361) 782-5241

    Fax: (361) 782-7495

    Type: Mailing

  • 202 S THIRD STREET

    GANADO, TX 779621214

    Phone: (361) 771-3571

    Fax: (361) 771-3574

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 77957)

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Reviews

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Frequently asked questions

Does Jackson Medical Clinic of Ganado share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Jackson Medical Clinic of Ganado uses 1588692370.
Is Jackson Medical Clinic of Ganado still practicing?
Jackson Medical Clinic of Ganado is currently listed as active in the public NPI registry.
What is Jackson Medical Clinic of Ganado's primary classification?
Pediatrics Physician is the headline specialty for Jackson Medical Clinic of Ganado here. Clinical services aligned with this taxonomy classification.
What area does Jackson Medical Clinic of Ganado serve?
Jackson Medical Clinic of Ganado's listing highlights Edna, Texas; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

Similar Providers

Jackson Medical Clinic Physican Group

General Practice Physician
Jackson County Hospital, 1013, South Wells Street, Edna, Jackson County, Texas, 77957, United States
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Pediatrics Physician
Jackson County Hospital, 1013, South Wells Street, Edna, Jackson County, Texas, 77957, United States
NPI: 1063593267
202 S. THIRD STREET
NPI: 1073696357