Healthcare Provider Details

I. General information

NPI: 1508365404
Provider Name (Legal Business Name): RGV FLOSS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2018
Last Update Date: 02/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4501 W EXPRESSWAY 83 # 10
MCALLEN TX
78503-0029
US

IV. Provider business mailing address

4501 W EXPRESSWAY 83 # 10
MCALLEN TX
78503-0029
US

V. Phone/Fax

Practice location:
  • Phone: 956-627-0525
  • Fax:
Mailing address:
  • Phone: 956-627-0525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: SUZETTE VIRREY
Title or Position: OFFCIE MANAGER
Credential:
Phone: 956-627-0525