Provider Demographics
NPI:1295966182
Name:VALLEY ORTHOPEDIC ASSOCIATES, INC.
Entity type:Organization
Organization Name:VALLEY ORTHOPEDIC ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:KEY
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:956-831-5767
Mailing Address - Street 1:302 KINGS HIGHWAY SUITE 206
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521
Mailing Address - Country:US
Mailing Address - Phone:956-831-5767
Mailing Address - Fax:956-831-5267
Practice Address - Street 1:302 KINGS HIGHWAY SUITE 206
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521
Practice Address - Country:US
Practice Address - Phone:956-831-5767
Practice Address - Fax:956-831-5267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-27
Last Update Date:2009-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMDE3339207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX132018605Medicaid
TXZ000252K8Medicare PIN
TXC17836Medicare UPIN