NPIMap

Organization Active NPI

Palm Valley Emergency Physicians Specialists PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Brownsville, TX
National Provider Identifier
1265408561
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
Legal business name
PALM VALLEY EMERGENCY PHYSICIANS SPECIALISTS PLLC
Practice address
1040 W Jefferson St
Brownsville, TX 78520-6338
Phone
(956) 698-5400
NPI assigned
Feb 27, 2006
Last updated
Jul 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

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

Authorized official

Name
Khadim Hussain, M.D.
Title
President
Phone
(956) 547-9552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207PE0004X TX Primary

Addresses

Primary practice location

1040 W Jefferson St
Brownsville, TX 78520-6338

Mailing address

2686 W Alton Gloor Blvd
Suite 3
Brownsville, TX 78520-4054
Phone (956) 547-9561

Other identifiers 1

IdentifierTypeStateIssuer
151894601MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1265408561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2686 W ALTON GLOOR BLVD",
            "address_2": "SUITE 3",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785204054",
            "telephone_number": "956-547-9561"
        },
        {
            "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": "956-698-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM VALLEY EMERGENCY PHYSICIANS SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-27",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "KHADIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-547-9552",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151894601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.