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Organization

NUESTRA CLINICA DEL VALLE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARIA L TORRES BBA (CHIEF EXECUTIVE OFFICER)
(956) 787-8915
Entity
Organization

Contact information

Practice address
806 W 3RD ST, SAN JUAN, TX 78589
(956) 787-8915
(956) 787-2021
Mailing address
PO BOX 1689, PHARR, TX 78577-1630
(956) 787-8915
(956) 787-2021

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
288560001
TX
Enumeration date
07/18/2014
Last updated
08/31/2018
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