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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
1500 W 1ST ST, MERCEDES, TX 78570
(956) 565-3191
(956) 514-4978
Mailing address
1500 W 1ST ST, MERCEDES, TX 78570-2551
(956) 565-3191
(956) 514-4978

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
03337
TX
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
TX
333600000X
Pharmacy
3336C0002X
Clinic Pharmacy
3336C0003X
Community/Retail Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
019058901
TX
01
451809
MEDICARE PTAN
Enumeration date
03/02/2007
Last updated
04/28/2026
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