# MID-VALLEY PHYSICIAN ASSOCIATION

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

## Provider details

- **NPI number:** 1548348618
- **Authorized official:** MR. TONY CASTILLO JR. (DIRECTOR OF PATIENT ACCOUNTS)
- **Authorized official phone:** (956) 969-5383

## Contact information

- **Practice address:** 1401 E 8TH ST, WESLACO, TX 78596-6640
- **Practice address phone:** (956) 969-5383
- **Practice address fax:** (956) 969-1408
- **Mailing address:** 1401 E 8TH ST, WESLACO, TX 78596-6640
- **Mailing address phone:** (956) 969-5383
- **Mailing address fax:** (956) 969-1408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | G3026 | TX | — |
| 367H00000X | Anesthesiologist Assistant | 460718 | TX | Yes |

## Other

- **Enumeration date:** 11/02/2006
- **Last updated:** 10/22/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000C14S | BC BS OF TEXAS | TX |
| 05 | — | 162051001 | — | TX |