NPIMap

Organization Active NPI

Valley Pediatric Cardiology, P.L.L.C

  • Pediatric Cardiology Physician
  • Donna, TX
National Provider Identifier
1982840815
Registry record updated Dec 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
M0019 Issued in TX
Legal business name
VALLEY PEDIATRIC CARDIOLOGY, P.L.L.C
Practice address
702 E. Expressway 83 Suite A3
Donna, TX 78537
Phone
(956) 464-8600
Fax
(956) 464-8601
NPI assigned
Dec 24, 2008
Last updated
Dec 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2008

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

Authorized official

Name
Dr. Clark Abilio Boyer, M.D.NPI 1730287483
Title
Owner
Phone
(956) 464-8600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X M0019 TX Primary

Addresses

Primary practice location

702 E. Expressway 83 Suite A3
Donna, TX 78537

Mailing address

702 E. Expressway 83 Suite A3
Donna, TX 78537
Phone (956) 464-8600

Other identifiers 1

IdentifierTypeStateIssuer
M0019OtherTXLICENSE

Other names 1

  • CLARK A. BOYER, MD. Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1230076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230076800000",
    "number": "1982840815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 E. EXPRESSWAY 83 SUITE A3",
            "city": "DONNA",
            "state": "TX",
            "postal_code": "78537",
            "telephone_number": "956-464-8600",
            "fax_number": "956-464-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 E. EXPRESSWAY 83 SUITE A3",
            "city": "DONNA",
            "state": "TX",
            "postal_code": "78537",
            "telephone_number": "956-464-8600",
            "fax_number": "956-464-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY PEDIATRIC CARDIOLOGY, P.L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-24",
        "last_updated": "2008-12-24",
        "status": "A",
        "authorized_official_last_name": "BOYER",
        "authorized_official_first_name": "CLARK",
        "authorized_official_middle_name": "ABILIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-464-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "TX",
            "license": "M0019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "M0019",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLARK A. BOYER, MD.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Donna, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2008; 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.