Provider Demographics
NPI:1417320938
Name:VALLEY LASER SURGICAL SOLUTIONS
Entity Type:Organization
Organization Name:VALLEY LASER SURGICAL SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED MEDICAL CODER
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ESPINOZA
Authorized Official - Suffix:
Authorized Official - Credentials:CMC
Authorized Official - Phone:956-992-9161
Mailing Address - Street 1:909 N JACKSON RD
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-9357
Mailing Address - Country:US
Mailing Address - Phone:956-992-9161
Mailing Address - Fax:956-992-9174
Practice Address - Street 1:909 N JACKSON RD
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-9357
Practice Address - Country:US
Practice Address - Phone:956-992-9161
Practice Address - Fax:956-992-9174
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-05
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK0832208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty