Healthcare Provider Details

I. General information

NPI: 1528136090
Provider Name (Legal Business Name): RIO GRANDE HOSPITALIST GROUP, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 E RIDGE RD STE 204
MCALLEN TX
78503-1251
US

IV. Provider business mailing address

222 E RIDGE RD STE 204
MCALLEN TX
78503-1251
US

V. Phone/Fax

Practice location:
  • Phone: 956-632-6020
  • Fax:
Mailing address:
  • Phone: 956-632-6020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DOLORES MUNOZ
Title or Position: DIRECTOR
Credential:
Phone: 956-632-6020