Organization
VALLEY CARE CLINICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESUS GUILLERMO RODRIGUEZ MD (OWNER)
(956) 388-2187
Entity
Organization
Contact information
Practice address
1400 TRENTON AVE., EDINBURG, TX 78539-3413
(956) 388-2187
(956) 289-5375
Mailing address
1400 TRENTON AVE., EDINBURG, TX 78539-3413
(956) 388-2187
(956) 289-5375
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
J4999
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161677301
—
TX
01
—
58HG
GROUP FOR BLUE CROSS BS
TX
Enumeration date
03/15/2007
Last updated
10/02/2012
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