Healthcare Provider Details

I. General information

NPI: 1538167549
Provider Name (Legal Business Name): VALLEY PM&R SPECIALISTS, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2005
Last Update Date: 12/31/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 E SAVANNAH AVE STE 10
MCALLEN TX
78503-1727
US

IV. Provider business mailing address

1200 E SAVANNAH AVE STE 10
MCALLEN TX
78503-1727
US

V. Phone/Fax

Practice location:
  • Phone: 956-668-9900
  • Fax: 956-668-9902
Mailing address:
  • Phone: 956-668-9900
  • Fax: 956-668-9902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberJ9418
License Number StateTX

VIII. Authorized Official

Name: DR. SAROJA VISWAMITRA
Title or Position: OWNER
Credential: MD
Phone: 956-668-9900