West Valley Clinic, Llc

NPI 1003186248 - Clinic/Center - 261Q00000X

NPI Details
NPI 1003186248
Enumeration Date 01/05/2012
Last Updated 01/09/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name SAM T SAM
Position COO/MANAGER
Phone (915) 877-3151
Fax (915) 877-5346
Practice Location
6898 DONIPHAN DRIVE
CANUTILLO TX, 79835-2076, US
Phone (915) 877-3151
Fax (915) 877-5346
Business Location
6898 DONIPHAN DRIVE
P.O BOX 2076
CANUTILLO TX, 79835-2076, US
Phone (915) 877-3151
Fax (915) 877-5346
Toxanomy
Taxonomy Code 261Q00000X
License State Texas
License Number H2185
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According to our database, West Valley Clinic, Llc NPI is 1003186248, taxonomy code is 261Q00000X and license number is H2185, license state is located at Texas. West Valley Clinic, Llc physically located at 6898 Doniphan Drive, Canutillo TX, 79835-2076. NPI Number 1033115704 has the healthcare provider type.

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1003186248 NPI number is provided on an as is basis without warranty of any kind. 1003186248 is maintained by the National Plan & Provider Enumeration System. The contents of West Valley Clinic, Llc are for informational purposes only.