NPI | 1639225345 |
---|---|
Doing Business As | MID VALLEY PEDIATRICS |
Entity Type | Organization |
Authorized Contact | WILFREDO A AVILES Medical Supervisor 956-968-3111 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2007-01-26 |
Last Update Date | 2020-02-13 |