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
300 N 86TH ST, EDINBURG, TX 78542
(956) 287-8850
(956) 287-8853
Mailing address
300 N 86TH ST, EDINBURG, TX 78542-1838
(956) 287-8850
(956) 287-8853
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160133801
—
TX
Enumeration date
10/09/2013
Last updated
08/31/2018
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