1053432005 NPI number — VALLEY FAMILY DENTISTRY ASSOCIATES, P. A.

Table of content: (NPI 1053432005)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1053432005 NPI number — VALLEY FAMILY DENTISTRY ASSOCIATES, P. A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VALLEY FAMILY DENTISTRY ASSOCIATES, P. A.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
EL VALLE FAMILY DENTISTRY ASSOCIATES, P.A.
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1053432005
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/01/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1724 N ED CAREY DR STE B
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HARLINGEN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78550-8202
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
956-423-0191
Provider Business Mailing Address Fax Number:
953-423-7907

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1724 N ED CAREY DR, SUITE B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HARLINGEN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78550-8202
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-423-0191
Provider Business Practice Location Address Fax Number:
953-423-7907
Provider Enumeration Date:
04/03/2007

Additional Information

Authorized Official

Authorized Official Last Name:
LANDEROS
Authorized Official First Name:
BRENDA
Authorized Official Middle Name:
ELIZABETH
Authorized Official Title or Position:
DDS
Authorized Official Telephone Number:
956-423-0191

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  22512 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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