Healthcare Provider Details

I. General information

NPI: 1467618215
Provider Name (Legal Business Name): RGV HEMATO-ONCOLOGY, M.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2008
Last Update Date: 08/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2717 MICHAEL ANGELO SUITE 302
EDINBURG TX
78539-1408
US

IV. Provider business mailing address

7404 N 1ST ST
MCALLEN TX
78504-1600
US

V. Phone/Fax

Practice location:
  • Phone: 956-686-4221
  • Fax:
Mailing address:
  • Phone: 956-686-4221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberJ9658
License Number StateTX

VIII. Authorized Official

Name: SATISH D DESAI
Title or Position: M.D.
Credential: M.D.
Phone: 956-686-4221