Organization
ALL VALLEY CHILDREN'S CLINIC. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIVAKUMARI NANDIPATY M.D. (PRESIDENT)
(956) 973-9445
Entity
Organization
Contact information
Practice address
1620 E 8TH ST STE 1, WESLACO, TX 78596-5883
(956) 973-9445
Mailing address
1900 W UNIVERSITY DR STE 7A, EDINBURG, TX 78539-2866
(956) 973-9445
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J9235
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2089880-01
—
TX
Enumeration date
04/05/2010
Last updated
04/05/2010
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