Provider Demographics
NPI:1306005095
Name:VALLEY INTENSIVISTS, PULMONOLOGISTS AND SLEEP SPECIALISTS, P.L.L.C.
Entity Type:Organization
Organization Name:VALLEY INTENSIVISTS, PULMONOLOGISTS AND SLEEP SPECIALISTS, P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:PABLO
Authorized Official - Last Name:GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-802-4898
Mailing Address - Street 1:1200 E SAVANNAH AVE STE 12
Mailing Address - Street 2:MCALLEN
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-1728
Mailing Address - Country:US
Mailing Address - Phone:956-688-6300
Mailing Address - Fax:956-688-6303
Practice Address - Street 1:1200 E SAVANNAH AVE STE 12
Practice Address - Street 2:MCALLEN
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1728
Practice Address - Country:US
Practice Address - Phone:956-688-6300
Practice Address - Fax:956-688-6303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-06
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0009RQOtherBLUECROSS BLUE SHIELD
TX196516201Medicaid
TX196516201Medicaid