Individual
DR. PANAGIOTIS N VALILIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7848 GATEWAY BLVD E, EL PASO, TX 79915-1815
(915) 599-1313
(915) 599-1701
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
J9412
TX
207RX0202X
Medical Oncology Physician
J9412
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000K5467
—
NM
01
—
8R1573
BLUE CROSS OF TEXAS
TX
Enumeration date
06/04/2006
Last updated
02/28/2008
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