Healthcare Provider Details

I. General information

NPI: 1366321390
Provider Name (Legal Business Name): RGV HEARING SPECIALISTS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2025
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1313 W POLK AVE STE 11
PHARR TX
78577-2141
US

IV. Provider business mailing address

1313 W POLK AVE STE 11
PHARR TX
78577-2141
US

V. Phone/Fax

Practice location:
  • Phone: 575-343-0642
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State

VIII. Authorized Official

Name: JANINE GRANADOS
Title or Position: OWNER
Credential: AUD
Phone: 575-343-0642