Healthcare Provider Details
I. General information
NPI: 1518404631
Provider Name (Legal Business Name): VALLEY MED URGENT CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/26/2017
Last Update Date: 06/13/2024
Certification Date: 06/13/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2534 BOCA CHICA BLVD
BROWNSVILLE TX
78521-2310
US
IV. Provider business mailing address
2534 BOCA CHICA BLVD
BROWNSVILLE TX
78521-2310
US
V. Phone/Fax
- Phone: 956-546-2000
- Fax: 956-546-2001
- Phone: 956-546-2000
- Fax: 956-546-2001
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QP2300X |
| Taxonomy | Primary Care Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | L2584 |
| License Number State | TX |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | TX |
VIII. Authorized Official
Name: DR.
ABDUR
RAUF
Title or Position: OWNER
Credential: MD
Phone: 713-893-6214