Organization
NUESTRA CLINICA DEL VALLE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA L TORRES BBA (CHIEF EXECUTIVE OFFICER)
(956) 787-8915
Entity
Organization
Contact information
Practice address
201 S LOS EBANOS RD, ALTON, TX 78573
(956) 519-1800
(956) 519-9360
Mailing address
201 S LOS EBANOS RD, ALTON, TX 78573-1139
(956) 519-1800
(956) 519-9360
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092951504
—
TX
Enumeration date
10/02/2013
Last updated
08/31/2018
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