Palm Valley Emergency Physician, Specialist PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP125734 Issued in TX

Legal business name

PALM VALLEY EMERGENCY PHYSICIAN, SPECIALIST PLLC

Practice address

1040 W Jefferson St
Brownsville, TX 78520-6338

Phone

(956) 698-5595

NPI assigned

Jun 24, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. David Hernandez, FNP-C

Title

Family Nurse Practitioner

Phone

(956) 455-6378

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jose Guadalupe Sosa Jr., FNP-C

  • Family Nurse Practitioner
  • Brownsville, TX
  • NPI 1740694355
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1033524517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11125 ARKANSAS AVE",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785219389",
            "telephone_number": "956-554-7417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 W JEFFERSON ST",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785206338",
            "telephone_number": "956-698-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM VALLEY EMERGENCY PHYSICIAN, SPECIALIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "956-455-6378",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP125734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanette Marie Palacios, O.T.
• Jose Alberto Palacios
• Sheryl Palacios
• Palm Grove Medical Supply, LLC
• Palm Plus Professional Services PLLC
• Palm Valley Emergency Physicians Specialists PLLC
• Paloma Healthcare LLC
• Panamerican Clinical Research, LLC
• Linda Paniagua, M.D.
• Eric Marshall Panzer, M.D.

• Family Nurse Practitioner in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.