Provider Demographics
NPI:1578684726
Name:VALLEY WOMEN'S CARE PLLC
Entity Type:Organization
Organization Name:VALLEY WOMEN'S CARE PLLC
Other - Org Name:RAMIRO LEAL MD AND HERIBERTO RODRIGUEZ-AYALA MD
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ALBERTA
Authorized Official - Middle Name:
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:CMOM
Authorized Official - Phone:956-971-9930
Mailing Address - Street 1:1900 S JACKSON ROAD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503
Mailing Address - Country:US
Mailing Address - Phone:956-971-9930
Mailing Address - Fax:956-971-9934
Practice Address - Street 1:1900 S. JACKSON ROAD
Practice Address - Street 2:SUITE 4
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503
Practice Address - Country:US
Practice Address - Phone:956-971-9930
Practice Address - Fax:956-971-9934
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2009-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL2979207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0028QQOtherBCBS
TX188673101Medicaid
TX188673101Medicaid