Organization
MID VALLEY PEDIATRIC & ALLERGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REGANT V REDDY MD (PHYSICIAN)
(956) 969-2609
Entity
Organization
Contact information
Practice address
1010 S AIRPORT DR, WESLACO, TX 78596-6647
(956) 969-2609
(956) 973-0413
Mailing address
1010 S AIRPORT DR, WESLACO, TX 78596-6647
(956) 969-2609
(956) 973-0413
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
F7583
TX
208000000X
Pediatrics Physician
K1893
TX
208000000X
Pediatrics Physician
K6219
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081233101
—
TX
01
—
8546KI
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/26/2005
Last updated
02/04/2009
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