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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 (EXECUTIVE DIRECTOR)
(956) 787-8915
Entity
Organization

Contact information

Practice address
1518 E. SANTA ROSA, EDCOUCH, TX 78538-2098
(956) 262-1363
(956) 262-1840
Mailing address
1518 E. SANTA ROSA AVE, EDCOUCH, TX 78538-2098
(956) 262-1363
(956) 262-1840

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
TX
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
TX
363LF0000X
Family Nurse Practitioner
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
019057101
TX
Enumeration date
10/02/2013
Last updated
08/31/2018
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