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Organization
THE LOWER VALLEY PEDIATRIC NIGHT CLINIC, P.A.
Active
Organization
THE LOWER VALLEY PEDIATRIC NIGHT CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUBEN RAFAEL RONCALLO M.D. (PRESIDENT)
(915) 532-9000
Entity
Organization
Contact information
Practice address
10211 ALAMEDA AVE, SOCORRO, TX 79927-1602
(915) 532-9000
(915) 532-9006
Mailing address
4500 N MESA ST, EL PASO, TX 79912-6102
(915) 532-9000
(915) 532-9006
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K9162
TX
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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