Provider Demographics
NPI:1407255573
Name:VALLEY HEART & VASCULAR INSTITUTE, PLLC
Entity Type:Organization
Organization Name:VALLEY HEART & VASCULAR INSTITUTE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DE OLIVEIRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-425-5144
Mailing Address - Street 1:597 W SESAME DR STE A
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-8365
Mailing Address - Country:US
Mailing Address - Phone:956-425-5144
Mailing Address - Fax:956-421-2716
Practice Address - Street 1:597 W SESAME DR STE A
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8365
Practice Address - Country:US
Practice Address - Phone:956-622-7825
Practice Address - Fax:956-421-2716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-14
Last Update Date:2014-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM1069174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXI00797Medicare UPIN