Healthcare Provider Details

I. General information

NPI: 1730901869
Provider Name (Legal Business Name): RGV WELLNESS & FAMILY CLINIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2024
Last Update Date: 11/04/2024
Certification Date: 11/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

606 N MCCOLL RD
MCALLEN TX
78501-9335
US

IV. Provider business mailing address

606 N MCCOLL RD
MCALLEN TX
78501-9335
US

V. Phone/Fax

Practice location:
  • Phone: 210-605-3399
  • Fax:
Mailing address:
  • Phone: 210-605-3399
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: VINCENT REGUBIO
Title or Position: FNP
Credential:
Phone: 210-605-3399