Basic Information
| Provider Information | |||||||||
| NPI: | 1184005084 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | VALLEY SPECIALIST GROUP, PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1200 E SAVANNAH AVE | ||||||||
| Address2: | SUITE 16 | ||||||||
| City: | MCALLEN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 785031727 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9566313344 | ||||||||
| FaxNumber: | 9566313881 | ||||||||
| Practice Location | |||||||||
| Address1: | 1200 E SAVANNAH AVE | ||||||||
| Address2: | SUITE 16 | ||||||||
| City: | MCALLEN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 785031727 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9566313344 | ||||||||
| FaxNumber: | 9566313881 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/16/2015 | ||||||||
| LastUpdateDate: | 06/16/2015 | ||||||||
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| AuthorizedOfficialLastName: | RODRIGUEZ | ||||||||
| AuthorizedOfficialFirstName: | RAMON | ||||||||
| AuthorizedOfficialMiddleName: | ISIDRO | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 9566313344 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RI0200X | TX | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Infectious Disease |
No ID Information.