Organization
VALLEY PORTABLE CT SCANS LLC
Active
Organization
VALLEY PORTABLE CT SCANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE ORLANDO TREVINO R.T. (R) (ARRT) (PRESIDENT)
(956) 878-9296
Entity
Organization
Contact information
Practice address
1615 E LOEB ST, EDINBURG, TX 78542-0627
(956) 878-9296
(956) 661-8005
Mailing address
1615 E LOEB ST, EDINBURG, TX 78542-0627
(956) 878-9296
(956) 661-8005
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
23843
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R34724
DEPT OF STATE HEALTH SERVICE CERTIFICATE OF X RAY REGISTRATION
TX
Enumeration date
01/07/2009
Last updated
02/28/2011
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