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Organization

NUESTRA CLINICA DEL VALLE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARIA L TORRES BBA (CHIEF EXECUTIVE DIRECTOR)
(956) 787-0787
Entity
Organization

Contact information

Practice address
611 N BRYAN RD, MISSION, TX 78572
(956) 580-3303
(956) 580-1505
Mailing address
611 N BRYAN RD, MISSION, TX 78572-6285
(956) 580-3303
(956) 424-1901

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
TX
207R00000X
Internal Medicine Physician
TX
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
TX
3336C0002X
Clinic Pharmacy
18061
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
019056301
TX
Enumeration date
03/02/2007
Last updated
08/31/2018
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