Provider Demographics
NPI:1831242015
Name:VALLEY HEART CONSULTANTS
Entity type:Organization
Organization Name:VALLEY HEART CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CARDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:MEGO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-618-2999
Mailing Address - Street 1:1200 E SAVANNAH AVE
Mailing Address - Street 2:STE 7
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-1727
Mailing Address - Country:US
Mailing Address - Phone:956-618-2999
Mailing Address - Fax:956-928-1875
Practice Address - Street 1:1200 E SAVANNAH AVE
Practice Address - Street 2:STE 7
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1727
Practice Address - Country:US
Practice Address - Phone:956-618-2999
Practice Address - Fax:956-928-1875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX177162801Medicaid
TX181205902Medicaid
TX113469401Medicaid
TX153741702Medicaid