Organization
VAL VERDE HEALTH CLINIC
Active
Other names
Amistad Medical Professionals
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADRIAN F LARSON (CLINIC DIRECTOR)
(830) 774-2505
Entity
Organization
Contact information
Practice address
1200 N BEDELL AVE, DEL RIO, TX 78840-4491
(830) 774-2505
(830) 774-2394
Mailing address
1200 N BEDELL AVE, DEL RIO, TX 78840-4491
(830) 774-2505
(830) 774-2394
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281839501
—
TX
Enumeration date
10/12/2012
Last updated
10/12/2012
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