Organization
PALM VALLEY MEDICAL CLINIC PA
Active
Other names
Palm Valley Sleep Lab
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOEL LOPEZ M.D. (OWNER)
(956) 972-1600
Entity
Organization
Contact information
Practice address
5112 N 10TH ST, MCALLEN, TX 78504-2834
(956) 972-1600
(956) 972-0880
Mailing address
5140 N 10TH ST, MCALLEN, TX 78504-2834
(956) 972-1600
(956) 972-0880
Taxonomy
Speciality
Code
Description
License number
State
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
H6387
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00753T
MEDICARE
TX
Enumeration date
02/11/2015
Last updated
07/22/2015
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