Healthcare Provider Details

I. General information

NPI: 1235940677
Provider Name (Legal Business Name): RGV VASCULAR AND DIAGNOSTICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2025
Last Update Date: 01/15/2025
Certification Date: 01/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 N JACKSON RD
MCALLEN TX
78501-9357
US

IV. Provider business mailing address

909 N JACKSON RD
MCALLEN TX
78501-9357
US

V. Phone/Fax

Practice location:
  • Phone: 956-992-9161
  • Fax: 956-992-9174
Mailing address:
  • Phone: 956-992-9161
  • Fax: 956-992-9174

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN W HOVORKA
Title or Position: OWNER
Credential: MD
Phone: 956-992-9161