Provider Demographics
NPI:1093047151
Name:MEDICAL ONCOLOGY ASSOCIATES, P.L.L.C.
Entity Type:Organization
Organization Name:MEDICAL ONCOLOGY ASSOCIATES, P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:L
Authorized Official - Last Name:VALLADARES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:361-549-9739
Mailing Address - Street 1:PO BOX 5378
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78465-5378
Mailing Address - Country:US
Mailing Address - Phone:361-549-9739
Mailing Address - Fax:361-653-0428
Practice Address - Street 1:2601 HOSPITAL BLVD
Practice Address - Street 2:SUITE 218
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78405-1815
Practice Address - Country:US
Practice Address - Phone:361-661-0388
Practice Address - Fax:361-653-0428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-01
Last Update Date:2010-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL5595174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty