Provider Demographics
NPI:1104090190
Name:VALLEY CENTRAL ENT INC
Entity type:Organization
Organization Name:VALLEY CENTRAL ENT INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-472-2333
Mailing Address - Street 1:3509 LA HACIENDA
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-8550
Mailing Address - Country:US
Mailing Address - Phone:956-472-2333
Mailing Address - Fax:956-968-2730
Practice Address - Street 1:3509 LA HACIENDA
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-8550
Practice Address - Country:US
Practice Address - Phone:956-472-2333
Practice Address - Fax:956-968-2730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment