MEDICARE: R & L SOUTH TEXAS HOLDINGS LLC

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	208VP0000X	Pain Medicine Physician

General Provider Information

NPI Number	:	1851767743
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	R & L SOUTH TEXAS HOLDINGS LLC

Provider Business Mailing Address
First Line	:	6999 MCPHERSON RD STE 107
Second Line	:
City	:	LAREDO
State	:	TX
Zip	:	78041-6450
Country	:	US
Telephone Number	:	956-790-8890
Fax Number	:	956-722-2353

Provider Business Practice Location Address
First Line	:	6999 MCPHERSON RD STE 107
Second Line	:
City	:	LAREDO
State	:	TX
Zip	:	78041-6450
Country	:	US
Telephone Number	:	956-790-8890
Fax Number	:	956-722-2353

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. JUAN DAVID ROJAS LECHIN
Credential	:
Telephone Number	:	956-790-8890

Provider Enumeration Date	:	08/14/2015
Last Update Date	:	08/14/2015

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