Organization
VALLEY INTERNAL MEDICINE GERIATRIC & DIABETIC CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANGALA M RAMAMURTHY M.D. (OWNER)
(956) 631-3982
Entity
Organization
Contact information
Practice address
1200 E RIDGE RD STE 7, MCALLEN, TX 78503-1528
(956) 631-3982
(956) 631-0254
Mailing address
PO BOX 627, WESLACO, TX 78599-0627
(956) 631-3982
(956) 631-0254
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079604701
—
TX
Enumeration date
04/16/2008
Last updated
12/29/2008
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