Valley Palliative Physicians Group, PA.

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

License

N1626 Issued in TX

Legal business name

VALLEY PALLIATIVE PHYSICIANS GROUP, PA.

Practice address

13500 E State Highway 107
Suite 3
Edinburg, TX 78542-1876

Phone

(917) 204-6110

NPI assigned

Jan 31, 2009

Organization subpart

No

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

Authorized official

Name

Abdias D Etienne, M.DNPI 1972764827

Title

Ceo

Phone

(917) 204-6110

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Abdias Demetree Etienne, M.D

  • Family Medicine Physician
  • Edinburg, TX
  • NPI 1972764827
  NPD (past) Authorized official

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

{
    "created_epoch": "1233360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249948800000",
    "number": "1922246792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13500 E STATE HIGHWAY 107",
            "address_2": "SUITE 3",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785421876",
            "telephone_number": "917-204-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13500 E STATE HIGHWAY 107",
            "address_2": "SUITE 3",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785421876",
            "telephone_number": "917-204-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY PALLIATIVE PHYSICIANS GROUP, PA.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-31",
        "last_updated": "2009-08-11",
        "status": "A",
        "authorized_official_last_name": "ETIENNE",
        "authorized_official_first_name": "ABDIAS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-204-6110",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "TX",
            "license": "N1626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valley Hospital Doctors, PLLC
• Valley Hospitalist Group, PLLC
• Valley Lifeline Home Health Services, LLC
• Valley MD Group PLLC
• Valley Medcare Home Health Agency LLC
• Valley Pathology PA
• Valley Portable CT Scans LLC
• Valley Psychological Services PC
• Valley Spine Medical Center, PA
• Valley Sunshine Services, LLC

• Hospice and Palliative Medicine (Family Medicine) Physician in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.