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Organization

VALLEY BAPTIST MEDICAL DEVELOPMENT CORPORATION

Active
Parent organization
VALLEY BAPTIST HEALTH SYSTEM
Other names
Valley Eye Surgery Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
VALLEY BAPTIST HEALTH SYSTEM
Authorized official
MR. JAMES E. EASTHAM (EXECUTIVE VP & COO)
(956) 389-1604
Entity
Organization

Contact information

Practice address
1515 N ED CAREY DR, HARLINGEN, TX 78550-8209
(956) 423-2773
(956) 423-5618
Mailing address
PO BOX 2588, HARLINGEN, TX 78551-2588
(956) 389-1268
(956) 389-4536

Taxonomy

Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
000294
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
HH1235
BLUE CROSS
Enumeration date
09/20/2006
Last updated
10/18/2007
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