Organization
CENTER FOR INFECTIOUS DISEASES PLCC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUSTAVO VALERO MD (OWNER)
(956) 971-9411
Entity
Organization
Contact information
Practice address
500 LINDBERG AVE, MCALLEN, TX 78501-2924
(956) 971-9411
(956) 971-0335
Mailing address
500 LINDBERG AVE, MCALLEN, TX 78501-2924
(956) 971-9411
(956) 971-0335
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00105N
BLUE CROSS BLUE SHIELD
TX
01
—
DE0610
RAILROAD MEDICARE
TX
Enumeration date
02/02/2006
Last updated
01/10/2008
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