| Vidavalor Pllc | |
|
1390 Northwestern Dr El Paso TX 79912-8003 | |
| (915) 503-1959 | |
| Not Available |
| Full Name | Vidavalor Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1390 Northwestern Dr, El Paso, Texas |
| Authorized Official Name and Position | Danish Haque (OWNER) |
| Authorized Official Contact | 9155031959 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vidavalor Pllc 4849 N Mesa St Ste 201 El Paso TX 79912-5919 Ph: (915) 351-6600 | Vidavalor Pllc 1390 Northwestern Dr El Paso TX 79912-8003 Ph: (915) 503-1959 |
| NPI Number | 1194563932 |
|---|---|
| Provider Enumeration Date | 07/16/2024 |
| Last Update Date | 08/12/2024 |
| Certification Date | 08/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194563932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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