Organization
DRISCOLL VALLEY PHYSICIANS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALE OBERMUELLER (PRESIDENT/ADMINISTRATOR)
(361) 694-6257
Entity
Organization
Contact information
Practice address
1120 E RIDGE RD, MCALLEN, TX 78503-5411
(956) 688-1280
(956) 688-1291
Mailing address
1120 E RIDGE RD, MCALLEN, TX 78503-5411
(956) 688-1280
(956) 688-1291
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
—
—
2086S0120X
Pediatric Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0036LW
BC/BS
TX
05
—
170789501
—
TX
01
—
170789502
CSHCN
TX
Enumeration date
05/11/2006
Last updated
12/14/2011
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