Organization
NUESTRA CLINICA DEL VALLE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA L TORRES (CHIEF EXECUTIVE OFFICER)
(956) 787-8915
Entity
Organization
Contact information
Practice address
105 S 10TH ST, DONNA, TX 78537-3201
(956) 464-5809
(956) 464-5816
Mailing address
301 S 17TH ST, DONNA, TX 78537-3438
(956) 464-5809
(956) 464-5816
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160132001
—
TX
Enumeration date
09/26/2013
Last updated
03/08/2019
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