Organization Active NPI

Valley Neighborhood Pediatrics

  • Primary Care Clinic/Center
  • McAllen, TX
National Provider Identifier
1164899654
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
K6377 Issued in TX
Legal business name
VALLEY NEIGHBORHOOD PEDIATRICS
Practice address
3604 Buddy Owens Ave
McAllen, TX 78504-5201
Phone
(956) 213-8494
Fax
(956) 213-8492
NPI assigned
Aug 31, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

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

Authorized official

Name
Dr. Inemesit Ephraim Udor, MD
Title
Pediatrician
Phone
(956) 213-8494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X K6377 TX Primary

Addresses

Primary practice location

3604 Buddy Owens Ave
McAllen, TX 78504-5201

Mailing address

2931 Lake Shore Harbour Dr
Missouri City, TX 77459-7623
Phone (917) 204-1954

National Provider Directory

National Provider Directory
Tax ID family
Inemesit Ephram Udor MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3604 Buddy Owens Ave
McAllen, TX 78504
Phone (956) 213-8494

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440979200000",
    "number": "1164899654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2931 LAKE SHORE HARBOUR DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774597623",
            "telephone_number": "917-204-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 BUDDY OWENS AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785045201",
            "telephone_number": "956-213-8494",
            "fax_number": "956-213-8492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY NEIGHBORHOOD PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-31",
        "last_updated": "2015-08-31",
        "status": "A",
        "authorized_official_last_name": "UDOR",
        "authorized_official_first_name": "INEMESIT",
        "authorized_official_middle_name": "EPHRAIM",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "956-213-8494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "K6377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.