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General NPI Number Information
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NPI Number | 1073377958
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Entity Type | Organization
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Legal Business Name | THE VALLEY PODIATRY CENTER PLLC
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Dates
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Enumeration Date | 02/12/2024
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 1300 S BRYAN RD STE 106
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City | MISSION
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State | TX
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Zip | 78572-6688
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Country | US
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Telephone | 956-255-5891
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Fax | 956-340-4609
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Provider Business Mailing Address
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Address Line | 216 N FM 3167 UNIT 3
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City | RIO GRANDE CITY
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State | TX
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Zip | 78582-6207
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Country | US
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Telephone | 443-985-8548
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Fax |
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Authorized Official
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Title or Position | DR.
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Name | DR. SAMUEL Y ENYEW
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Credential | DPM
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Telephone | 956-255-5891
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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