Healthcare Provider Details

I. General information

NPI: 1114721602
Provider Name (Legal Business Name): RGV CARDIOVASCULAR SOLUTIONS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2025
Last Update Date: 04/23/2025
Certification Date: 04/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4302 S SUGAR RD STE 200
EDINBURG TX
78539-9140
US

IV. Provider business mailing address

2717 BRAZOS AVE
MCALLEN TX
78504-6365
US

V. Phone/Fax

Practice location:
  • Phone: 956-410-1660
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State

VIII. Authorized Official

Name: SRIKANTH NANGAVARAM
Title or Position: CFO
Credential:
Phone: 956-215-6010