Provider Demographics
NPI:1992010730
Name:VALLEY WOMEN'S SPECIALISTS, P.A.
Entity Type:Organization
Organization Name:VALLEY WOMEN'S SPECIALISTS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:E
Authorized Official - Last Name:BLANCO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-969-0999
Mailing Address - Street 1:1116 E 8TH ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-7288
Mailing Address - Country:US
Mailing Address - Phone:956-969-0999
Mailing Address - Fax:956-968-9932
Practice Address - Street 1:1116 E 8TH ST
Practice Address - Street 2:SUITE 2
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-7288
Practice Address - Country:US
Practice Address - Phone:956-969-0999
Practice Address - Fax:956-968-9932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-17
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ1594174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX115071601Medicaid
TX115071601Medicaid
TX00J10JMedicare PIN