Theresa L.Valladares, M.D.P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

THERESA L.VALLADARES, M.D.P.A.

Practice address

923 E Ferguson St
Suite C
Pharr, TX 78577-2613

Phone

(956) 702-0024

Fax

(956) 702-0616

NPI assigned

Aug 28, 2006

Last updated

Mar 10, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Theresa Lynn Valladares, M.D.NPI 1568578326

Title

Medical Doctor / Physician Owner

Phone

(956) 702-0024

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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.

• Theresa Lynn Valladares, M.D.

  • Family Medicine Physician
  • Pharr, TX
  • NPI 1568578326
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1891803078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 RED RIVER DR",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785727454",
            "telephone_number": "956-702-0024",
            "fax_number": "956-702-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 E FERGUSON ST",
            "address_2": "SUITE C",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785772613",
            "telephone_number": "956-702-0024",
            "fax_number": "956-702-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA L.VALLADARES, M.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "VALLADARES",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MEDICAL DOCTOR / PHYSICIAN OWNER",
        "authorized_official_telephone_number": "956-702-0024",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148012102",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "0011MP",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173167101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173167102",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "0084PU",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Pharr, TX
• Providers in Pharr, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.