Healthcare Provider Details

I. General information

NPI: 1164028155
Provider Name (Legal Business Name): RGV WOUND CARE HYPERBARICMEDICINE AND LYMPHEDEMA MANAGEMENT GROUP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2020
Last Update Date: 05/31/2024
Certification Date: 05/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 E RIDGE RD STE 6
MCALLEN TX
78503-1528
US

IV. Provider business mailing address

1200 E RIDGE RD STE 6
MCALLEN TX
78503-1528
US

V. Phone/Fax

Practice location:
  • Phone: 956-331-8150
  • Fax: 956-331-8903
Mailing address:
  • Phone: 956-331-8150
  • Fax: 956-331-8903

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0011X
TaxonomyUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: ALEJANDRO HERNANDEZ HERNANDEZ
Title or Position: MS
Credential:
Phone: 956-331-8150