# MOYA INNOVATIVE VASCULAR SERVICES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114727773
- **Authorized official:** DR. MARIO MOYA MD (CEO)
- **Authorized official phone:** (610) 908-2995

## Contact information

- **Practice address:** 1400 NORTHGATE LN, MCALLEN, TX 78504-9558
- **Practice address phone:** (610) 908-2995
- **Mailing address:** 1400 NORTHGATE LN, MCALLEN, TX 78504-9558

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 03/13/2025
- **Last updated:** 03/13/2025