Basic Information
| Provider Information | |||||||||
| NPI: | 1548798275 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | VALLEY MD GROUP PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 230 CONQUEST STE H1 | ||||||||
| Address2: | |||||||||
| City: | EDINBURG | ||||||||
| State: | TX | ||||||||
| PostalCode: | 785390227 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9564678210 | ||||||||
| FaxNumber: | 9569614286 | ||||||||
| Practice Location | |||||||||
| Address1: | 230 CONQUEST STE H1 | ||||||||
| Address2: | |||||||||
| City: | EDINBURG | ||||||||
| State: | TX | ||||||||
| PostalCode: | 785390227 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9564678210 | ||||||||
| FaxNumber: | 9569614286 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/25/2017 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| AuthorizedOfficialLastName: | MOHME | ||||||||
| AuthorizedOfficialFirstName: | RUBEN | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 9564678210 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.