Healthcare Provider Details

I. General information

NPI: 1306367529
Provider Name (Legal Business Name): RGV VITAL CONNECTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6316 N 10TH ST STE C2
MCALLEN TX
78504-3890
US

IV. Provider business mailing address

6316 N 10TH ST STE C2
MCALLEN TX
78504-3890
US

V. Phone/Fax

Practice location:
  • Phone: 956-433-2254
  • Fax: 956-668-1015
Mailing address:
  • Phone: 956-433-2254
  • Fax: 956-668-1015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateTX

VIII. Authorized Official

Name: MR. ROLANDO GUERRA
Title or Position: OWNER/ADMINISTRATOR
Credential:
Phone: 956-433-2254