Healthcare Provider Details

I. General information

NPI: 1851767743
Provider Name (Legal Business Name): R & L SOUTH TEXAS HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2015
Last Update Date: 08/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6999 MCPHERSON RD STE 107
LAREDO TX
78041-6450
US

IV. Provider business mailing address

6999 MCPHERSON RD STE 107
LAREDO TX
78041-6450
US

V. Phone/Fax

Practice location:
  • Phone: 956-790-8890
  • Fax: 956-722-2353
Mailing address:
  • Phone: 956-790-8890
  • Fax: 956-722-2353

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. JUAN DAVID ROJAS LECHIN
Title or Position: MANAGER
Credential:
Phone: 956-790-8890