Doctor Name: | MR. SAMUEL VALLEJO SANCHEZ |
NPI Number: | 1003979402 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 115585 |
Business Practice Address: | 502 W Railroad St Weslaco, TX - 785965942 |
Business Phone Number: | 9569698786 |
Business Fax Number: | 9569698954 |
Mailing Address: | 502 W Railroad St, WESLACO |
State: | TX |
Postal Code: | 785965942 |
Phone Number: | 9569698786 |
Fax Number: | 9569698954 |
NPI Enumeration Date: | 12/18/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA0600X |
License Number: | 115585 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Day Care |
Taxonomy Definition: |