Provider Demographics
NPI:1861739823
Name:TOTAL VALLEY MEDICAL CARE MD PA
Entity type:Organization
Organization Name:TOTAL VALLEY MEDICAL CARE MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEJANDRO
Authorized Official - Middle Name:A
Authorized Official - Last Name:TEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-683-8001
Mailing Address - Street 1:801 E NOLANA AVE STE 18
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-6112
Mailing Address - Country:US
Mailing Address - Phone:956-683-8001
Mailing Address - Fax:956-971-8358
Practice Address - Street 1:801 E NOLANA AVE STE 18
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-6112
Practice Address - Country:US
Practice Address - Phone:956-683-8001
Practice Address - Fax:956-971-8358
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-10
Last Update Date:2013-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ9382207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty