Healthcare Provider Details

I. General information

NPI: 1881995884
Provider Name (Legal Business Name): RGV PRIMARY CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2010
Last Update Date: 09/17/2024
Certification Date: 09/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 E SAVANNAH AVE A-204
MCALLEN TX
78503-1241
US

IV. Provider business mailing address

110 E SAVANNAH AVE A-204
MCALLEN TX
78503-1241
US

V. Phone/Fax

Practice location:
  • Phone: 956-686-4040
  • Fax: 956-686-2936
Mailing address:
  • Phone: 956-686-4040
  • Fax: 956-686-2936

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateTX

VIII. Authorized Official

Name: SERGIO DIAZ
Title or Position: OWNER
Credential:
Phone: 956-686-4071