West Valley Clinic, LLC

NPI #1003186248 in Canutillo, Texas

Provider Information

NPI Number
1003186248
Entity Type
Organization
Organization Name
West Valley Clinic, LLC
Primary Specialty
Clinic/Center
Enumeration Date
Jan 5, 2012
Last Updated
Sep 10, 2020

Practice Location

Address
6898 DONIPHAN DRIVE
State
Texas
ZIP Code
79835-2076
Phone
(915) 877-3151

Authorized Official

Name
SAM T TYSON, M.D.
Title
COO/MANAGER
Phone
(915) 877-3151

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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