Healthcare Provider Details

I. General information

NPI: 1487411237
Provider Name (Legal Business Name): RGV VASCULAR & VEIN INSTITUTE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2024
Last Update Date: 02/28/2024
Certification Date: 02/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 E 8TH ST STE 11
WESLACO TX
78596-4201
US

IV. Provider business mailing address

1317 ST CLAIRE BLVD STE A5
MISSION TX
78572-6636
US

V. Phone/Fax

Practice location:
  • Phone: 956-997-6000
  • Fax: 956-997-0614
Mailing address:
  • Phone: 956-997-6000
  • Fax: 956-997-0614

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DALIA COBOS
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 956-997-6000