Organization
NUESTRA CLINICA DEL VALLE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA L TORRES (CHIEF EXECUTIVE OFFICER)
(956) 787-8915
Entity
Organization
Contact information
Practice address
2891 E GRANT ST, ROMA, TX 78584
(956) 849-2100
(956) 787-8915
Mailing address
2891 E GRANT ST, ROMA, TX 78584-8914
(956) 849-2100
(956) 787-8915
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
314308302
—
TX
Enumeration date
08/03/2009
Last updated
08/31/2018
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