MEDICARE: RGV FLOSS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508365404
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RGV FLOSS PLLC

Provider Business Mailing Address
First Line	:	4501 W EXPRESSWAY 83 # 10
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78503-0029
Country	:	US
Telephone Number	:	956-627-0525
Fax Number	:

Provider Business Practice Location Address
First Line	:	4501 W EXPRESSWAY 83 # 10
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78503-0029
Country	:	US
Telephone Number	:	956-627-0525
Fax Number	:

Authorized Official
Title or Position	:	OFFCIE MANAGER
Name	:	SUZETTE VIRREY
Credential	:
Telephone Number	:	956-627-0525

Provider Enumeration Date	:	02/06/2018
Last Update Date	:	02/06/2018

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Directions to “RGV FLOSS PLLC ” Practice Location

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