Organization
PALM VALLEY EMERGENCY PHYSICIANS SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHADIM HUSSAIN M.D. (PRESIDENT)
(956) 547-9552
Entity
Organization
Contact information
Practice address
1040 W JEFFERSON ST, BROWNSVILLE, TX 78520-6338
(956) 698-5400
Mailing address
2686 W ALTON GLOOR BLVD, SUITE 3, BROWNSVILLE, TX 78520-4054
(956) 547-9561
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151894601
—
TX
Enumeration date
02/27/2006
Last updated
07/07/2014
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