MEDICARE: VALLEY CARDIOLOGY LLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00B16G	OTHER	TX	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831166933
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALLEY CARDIOLOGY LLP

Provider Business Mailing Address
First Line	:	PO BOX 6140
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78502-6140
Country	:	US
Telephone Number	:	956-630-2904
Fax Number	:	956-618-3228

Provider Business Practice Location Address
First Line	:	500 E RIDGE RD
Second Line	:	SUITE 101
City	:	MCALLEN
State	:	TX
Zip	:	78503-1506
Country	:	US
Telephone Number	:	956-686-5226
Fax Number	:	956-618-0351

Authorized Official
Title or Position	:	OFFICE ADMINISTRATOR
Name	:	MR. DANIEL O BUENO
Credential	:
Telephone Number	:	956-630-2904

Provider Enumeration Date	:	03/07/2006
Last Update Date	:	09/28/2011

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