Provider Demographics
NPI:1831166933
Name:VALLEY CARDIOLOGY LLP
Entity type:Organization
Organization Name:VALLEY CARDIOLOGY LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:O
Authorized Official - Last Name:BUENO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-630-2904
Mailing Address - Street 1:PO BOX 6140
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78502-6140
Mailing Address - Country:US
Mailing Address - Phone:956-630-2904
Mailing Address - Fax:956-618-3228
Practice Address - Street 1:500 E RIDGE RD
Practice Address - Street 2:SUITE 101
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1506
Practice Address - Country:US
Practice Address - Phone:956-686-5226
Practice Address - Fax:956-618-0351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-07
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00B16GOtherBLUE CROSS BLUE SHIELD
TX112846403Medicaid
TXCD2380Medicare PIN
TX112846403Medicaid