=====================================================
General NPI Number Information
=====================================================
NPI Number | 1497968580
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | VALLEY HAND AND PLASTIC SURGERY P.A.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/07/2007
-----------------------------------------------------
Last Update Date | 04/09/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1421 N COL ROWE BLVD STE B
-----------------------------------------------------
City | MCALLEN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78501-2303
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-994-0888
-----------------------------------------------------
Fax | 956-630-3583
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1421 N COL ROWE BLVD STE B
-----------------------------------------------------
City | MCALLEN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78501-2303
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-994-0888
-----------------------------------------------------
Fax | 956-630-3583
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. ARMANDO MONCADA
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 956-994-0888
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2086S0105X
-----------------------------------------------------
Taxonomy Name | Surgery of the Hand (Surgery) Physician
-----------------------------------------------------
License Number | G7853
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 2086S0122X
-----------------------------------------------------
Taxonomy Name | Plastic and Reconstructive Surgery Physician
-----------------------------------------------------
License Number | G7853
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------