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MID VALLEY ADULT SPECIALISTS PA NPI 1104009513


NPI Information

NPI: 1104009513
Provider Name: MID VALLEY ADULT SPECIALISTS PA
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 45D0503924

Address:
1010 JAMES ST STE B
WESLACO, TX
ZIP 78596
Phone: (956) 968-1621
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MID VALLEY ADULT SPECIALISTS PA is an internal medicine in Weslaco, TX. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. MID VALLEY ADULT SPECIALISTS PA NPI is 1104009513. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1010 JAMES ST STE B
WESLACO, TX
ZIP 78596-654
Phone: (956) 968-1621
Fax: (956) 447-8626

The provider's authorized official is Pedro E Mcdougal .
The authorized official title is President and has the following contact phone number (956) 968-1621.

The CLIA number assigned to this NPI record is 45D0503924 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/7/2007 and was last updated on 9/14/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1092279101MEDICAIDTEXAS
200048KMEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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