Organization
NUESTRA CLINICA DEL VALLE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA L TORRES BBA (CHIEF EXECUTIVE OFFICER)
(956) 787-8915
Entity
Organization
Contact information
Practice address
2900 N RAUL LONGORIA RD, SAN JUAN, TX 78589
(956) 781-6077
(956) 781-4275
Mailing address
PO BOX 1689, PHARR, TX 78577-1630
(956) 787-8915
(956) 787-2021
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019059701
—
TX
Enumeration date
07/18/2014
Last updated
08/31/2018
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