Healthcare Provider Details

I. General information

NPI: 1023439163
Provider Name (Legal Business Name): RGV PATHOLOGY CONSULTANTS, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2013
Last Update Date: 10/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

612 W NOLANA AVE STE 330 ATTN: ENRIQUE MENENDEZ
MCALLEN TX
78504-3088
US

IV. Provider business mailing address

612 W NOLANA AVE STE 330 SUITE 330
MCALLEN TX
78504-3088
US

V. Phone/Fax

Practice location:
  • Phone: 956-630-2225
  • Fax: 956-630-2275
Mailing address:
  • Phone: 956-630-2225
  • Fax: 956-630-2275

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberP1259
License Number StateTX

VIII. Authorized Official

Name: DR. RUDY ALVAREZ
Title or Position: CEO
Credential: M.D.
Phone: 956-630-2225