Provider Demographics
NPI:1013107663
Name:VALLEY INJURY CLINIC
Entity Type:Organization
Organization Name:VALLEY INJURY CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:REYNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-544-2333
Mailing Address - Street 1:1900 N EXPRESSWAY STE B2
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-1563
Mailing Address - Country:US
Mailing Address - Phone:956-544-2333
Mailing Address - Fax:956-544-2339
Practice Address - Street 1:1900 N EXPRESSWAY STE B2
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-1563
Practice Address - Country:US
Practice Address - Phone:956-544-2333
Practice Address - Fax:956-544-2339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9297DC111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0100XChiropractic ProvidersChiropractorOccupational HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1174654883OtherNPI