Healthcare Provider Details

I. General information

NPI: 1952400988
Provider Name (Legal Business Name): RGV HEALTHCARE SYSTEMS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 08/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5140 N 10TH ST SUITE B
MCCALLEN TX
78504
US

IV. Provider business mailing address

PO BOX 6582
MCCALLEN TX
78504
US

V. Phone/Fax

Practice location:
  • Phone: 956-631-6918
  • Fax: 956-631-6919
Mailing address:
  • Phone: 956-631-6918
  • Fax: 956-631-6919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. GARY GUILLERMO MOLINA
Title or Position: CHEIF OPERATING OFFICER
Credential: BSE AAS
Phone: 956-631-6918