Healthcare Provider Details
I. General information
NPI: 1194016964
Provider Name (Legal Business Name): RGV ADVANCED THERAPEUTIC SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/27/2011
Last Update Date: 02/21/2020
Certification Date: 02/21/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5413 N. 23RD STREET
MCALLEN TX
78504
US
IV. Provider business mailing address
5413 N. 23RD STREET
MCALLEN TX
78504
US
V. Phone/Fax
- Phone: 956-994-8880
- Fax: 956-517-1481
- Phone: 956-994-8880
- Fax: 956-517-1481
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
FRANCISCO
GARZA
Title or Position: PT, DPT, CEO
Credential: PT, DPT, CEO
Phone: 956-994-8880