Organization
VALLEY CARDIOTHORACIC SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS MANUEL CHAVEZ M.D (PRESIDENT/OWNER)
(956) 350-6121
Entity
Organization
Contact information
Practice address
425 E. LOS EBANOS BLVD STE-103, BROWNSVILLE, TX 78520
(956) 350-6121
(956) 350-6125
Mailing address
P.O BOX 3847, BROWNSVILLE, TX 78520
(956) 350-6121
(956) 350-6125
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
F3431
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033900401
—
TX
Enumeration date
10/08/2008
Last updated
10/08/2008
Update your record
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