Organization
MID-VALLEY PHYSICIAN ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONY CASTILLO JR. (DIRECTOR OF PATIENT ACCOUNTS)
(956) 969-5383
Entity
Organization
Contact information
Practice address
1401 E 8TH ST, WESLACO, TX 78596-6640
(956) 969-5383
(956) 969-1408
Mailing address
1401 E 8TH ST, WESLACO, TX 78596-6640
(956) 969-5383
(956) 969-1408
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
G3026
TX
367H00000X
Anesthesiologist Assistant
Primary
460718
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000C14S
BC BS OF TEXAS
TX
05
—
162051001
—
TX
Enumeration date
11/02/2006
Last updated
10/22/2009
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