Healthcare Provider Details

I. General information

NPI: 1164269288
Provider Name (Legal Business Name): RGV PRIME CLINIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2024
Last Update Date: 04/25/2025
Certification Date: 04/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 N 23RD ST STE 4
MCALLEN TX
78501-6179
US

IV. Provider business mailing address

3001 N 23RD ST STE 4
MCALLEN TX
78501-6179
US

V. Phone/Fax

Practice location:
  • Phone: 956-800-1303
  • Fax: 956-800-1304
Mailing address:
  • Phone: 956-800-1303
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JORGE RICARDO DUARTE SOLIS
Title or Position: PHYSICIAN
Credential: MD
Phone: 956-800-1303