Organization
VALLEY AIDS COUNCIL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALLY CANTU (CHIEF EXECUTIVE OFFICER)
(956) 428-2653
Entity
Organization
Contact information
Practice address
2306 CAMELOT PLAZA CIR, HARLINGEN, TX 78550-8984
(956) 428-2653
(956) 428-9538
Mailing address
2306 CAMELOT PLAZA CIR, HARLINGEN, TX 78550-8984
(956) 428-2653
(956) 428-9538
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00L08G
BCBS OF TEXAS
TX
05
—
083627202
—
TX
Enumeration date
06/13/2006
Last updated
03/27/2025
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