Healthcare Provider Details

I. General information

NPI: 1689882516
Provider Name (Legal Business Name): URGENT CARE-RGV M D P A CARLOS BERNAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 07/23/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

835 N EXPRESSWAY 83
BROWNSVILLE TX
78521
US

IV. Provider business mailing address

1100 N EXPRESSWAY 83, STE 3
BROWNSVILLE TX
78521
US

V. Phone/Fax

Practice location:
  • Phone: 956-542-0300
  • Fax:
Mailing address:
  • Phone: 956-542-0300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberH2244
License Number StateTX

VIII. Authorized Official

Name: CARLOS V BERNAL
Title or Position: OWNER
Credential: MD
Phone: 956-542-0300