Healthcare Provider Details

I. General information

NPI: 1063118420
Provider Name (Legal Business Name): R.G.V. NUTRITION CONSULTANTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2023
Last Update Date: 02/06/2023
Certification Date: 02/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

538 S TEXAS BLVD STE 4
WESLACO TX
78596-5136
US

IV. Provider business mailing address

127 N MISSOURI AVE
MERCEDES TX
78570-2653
US

V. Phone/Fax

Practice location:
  • Phone: 956-975-0004
  • Fax: 956-468-2188
Mailing address:
  • Phone: 956-975-0004
  • Fax: 956-468-2188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: MISS AURORA E. ADAME
Title or Position: OWNER/MANAGER
Credential: RDN, LD
Phone: 956-975-0004