Healthcare Provider Details

I. General information

NPI: 1427021245
Provider Name (Legal Business Name): RGV REHAB CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2006
Last Update Date: 10/13/2022
Certification Date: 10/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4925 S JACKSON RD STE A
EDINBURG TX
78539-7207
US

IV. Provider business mailing address

1900 S. JACKSON RD SUITE 2-3
MCALLEN TX
78503-1589
US

V. Phone/Fax

Practice location:
  • Phone: 956-618-2588
  • Fax: 956-630-4447
Mailing address:
  • Phone: 956-630-4400
  • Fax: 956-630-4447

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0401X
TaxonomyComprehensive Outpatient Rehabilitation Facility (CORF)
License Number176731101
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. VELMA ESPARZA
Title or Position: OWNER
Credential: OTR
Phone: 956-630-4400