Provider Demographics
NPI:1144241845
Name:ALL VALLEY PHYSICAL MED & REHAB
Entity Type:Organization
Organization Name:ALL VALLEY PHYSICAL MED & REHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PRITI
Authorized Official - Middle Name:
Authorized Official - Last Name:MANOHAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-683-9300
Mailing Address - Street 1:PO BOX 4784
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78502-4784
Mailing Address - Country:US
Mailing Address - Phone:956-683-9300
Mailing Address - Fax:956-683-9323
Practice Address - Street 1:3125 CENTER POINTE DR
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539
Practice Address - Country:US
Practice Address - Phone:956-683-9300
Practice Address - Fax:956-683-9323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMMGroup - Multi-Specialty
Not Answered208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00456XMedicare ID - Type UnspecifiedMEDICARE GROUP NUMBER