NPIMap

Organization Active NPI

Mid Valley Pediatric & Allergy

  • Pediatrics Physician
  • Weslaco, TX
National Provider Identifier
1346233012
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
F7583 Issued in TX
Legal business name
MID VALLEY PEDIATRIC & ALLERGY
Practice address
1010 S Airport Dr
Weslaco, TX 78596-6647
Phone
(956) 969-2609
Fax
(956) 973-0413
NPI assigned
Aug 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2009

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

Authorized official

Name
Dr. Regant V Reddy, MD
Title
Physician
Phone
(956) 969-2609

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X F7583 TX Primary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X K6219 TX
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X K1893 TX

Addresses

Primary practice location

1010 S Airport Dr
Weslaco, TX 78596-6647

Mailing address

1010 S Airport Dr
Weslaco, TX 78596-6647
Phone (956) 969-2609

Other identifiers 2

IdentifierTypeStateIssuer
8546KIOtherTXBLUE CROSS BLUE SHIELD
081233101MedicaidTX

National Provider Directory

National Provider Directory

Locations

1010 S Airport Dr
Weslaco, TX 78596
Phone (956) 375-2045

NPI Registry JSON

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1346233012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 S AIRPORT DR",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966647",
            "telephone_number": "956-969-2609",
            "fax_number": "956-973-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S AIRPORT DR",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966647",
            "telephone_number": "956-969-2609",
            "fax_number": "956-973-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID VALLEY PEDIATRIC & ALLERGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-26",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "REGANT",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "956-969-2609",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "F7583",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K6219",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K1893",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8546KI",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081233101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weslaco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; 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.