Healthcare Provider Details

I. General information

NPI: 1043194731
Provider Name (Legal Business Name): HIDALGO COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2025
Last Update Date: 08/04/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1211 S 28TH AVE
EDINBURG TX
78542
US

IV. Provider business mailing address

1304 S 25TH AVE
EDINBURG TX
78542-7205
US

V. Phone/Fax

Practice location:
  • Phone: 956-292-7765
  • Fax: 956-318-2431
Mailing address:
  • Phone: 956-292-7765
  • Fax: 956-318-2431

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: DAIREN SARMIENTO RANGEL
Title or Position: DIRECTOR
Credential:
Phone: 956-383-6221