1831166933 NPI number — VALLEY CARDIOLOGY LLP

Table of content: (NPI 1831166933)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831166933 NPI number — VALLEY CARDIOLOGY LLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VALLEY CARDIOLOGY LLP
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:
Provider Other Organization Name Type Code:
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:
1831166933
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/28/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 6140
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MCALLEN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78502-6140
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
956-630-2904
Provider Business Mailing Address Fax Number:
956-618-3228

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
500 E RIDGE RD
Provider Second Line Business Practice Location Address:
SUITE 101
Provider Business Practice Location Address City Name:
MCALLEN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78503-1506
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-686-5226
Provider Business Practice Location Address Fax Number:
956-618-0351
Provider Enumeration Date:
03/07/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BUENO
Authorized Official First Name:
DANIEL
Authorized Official Middle Name:
O
Authorized Official Title or Position:
OFFICE ADMINISTRATOR
Authorized Official Telephone Number:
956-630-2904

Provider Taxonomy Codes

  • Taxonomy code: 207RC0000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 00B16G . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 112846403 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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