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Organization
UPPER VALLEY PEDIATRICS, PLLC
Active
Organization
UPPER VALLEY PEDIATRICS, PLLC
Active
Other names
University Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SERGIO GUSTAVO PRECIADO M.D. (PRESIDENT)
(956) 787-2500
Entity
Organization
Contact information
Practice address
615 E UNIVERSITY DR, EDINBURG, TX 78539-3626
(956) 316-4416
(956) 316-4434
Mailing address
832 DEL ORO LN, SUITE 2, PHARR, TX 78577-2200
(956) 787-2500
(956) 787-2528
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J9278
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195075001
—
TX
05
—
195075002
—
TX
Enumeration date
11/05/2007
Last updated
11/07/2016
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