Healthcare Provider Details

I. General information

NPI: 1912898404
Provider Name (Legal Business Name): RGV MOBILE PHLEBOTOMY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2025
Last Update Date: 07/11/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27564 DOANE RD
HARLINGEN TX
78552-3906
US

IV. Provider business mailing address

PO BOX 6143
MCALLEN TX
78502-6143
US

V. Phone/Fax

Practice location:
  • Phone: 956-821-7970
  • Fax: 956-230-0925
Mailing address:
  • Phone: 956-821-7970
  • Fax: 956-230-0925

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State

VIII. Authorized Official

Name: MRS. CARRIE FRAGA
Title or Position: OWNER
Credential:
Phone: 956-821-7970