Healthcare Provider Details

I. General information

NPI: 1770749947
Provider Name (Legal Business Name): GI CARE FOR KIDS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2008
Last Update Date: 02/14/2020
Certification Date: 02/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1810 HALE AVE SUITE 9
HARLINGEN TX
78550-7541
US

IV. Provider business mailing address

512 VICTORIA LN STE 2
HARLINGEN TX
78550-3227
US

V. Phone/Fax

Practice location:
  • Phone: 956-412-0055
  • Fax: 956-412-1455
Mailing address:
  • Phone: 956-412-0055
  • Fax: 956-412-1455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0206X
TaxonomyPediatric Gastroenterology Physician
License NumberL7536
License Number StateTX

VIII. Authorized Official

Name: MIHAELA RINGHEANU
Title or Position: PRESIDENT/OWNER
Credential: MD
Phone: 956-412-0055