Healthcare Provider Details

I. General information

NPI: 1578795613
Provider Name (Legal Business Name): RGV FLAMINGO POOLS INTERNATIONAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2009
Last Update Date: 08/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

721 W DOVE AVE
MCALLEN TX
78504-3538
US

IV. Provider business mailing address

721 W DOVE AVE
MCALLEN TX
78504-3538
US

V. Phone/Fax

Practice location:
  • Phone: 956-618-0101
  • Fax: 956-618-1099
Mailing address:
  • Phone: 956-618-0101
  • Fax: 956-618-1099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number StateTX

VIII. Authorized Official

Name: MR. DENNIS GOMEZ
Title or Position: OWNER
Credential:
Phone: 956-618-0101