NPI Code Details Logo

NPI 1487441325

NPI 1487441325 : UNIVERSITY OF TEXAS RIO GRANDE VALLEY : MCALLEN, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1487441325
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    UNIVERSITY OF TEXAS RIO GRANDE VALLEY 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/23/2025
-----------------------------------------------------
    Last Update Date     |    07/11/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1400 N COMMERCE CENTER STREET STE 1.103 
-----------------------------------------------------
    City                 |    MCALLEN
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    78501-3185
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    956-296-4673
-----------------------------------------------------
    Fax                  |    956-296-4674
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 531968 
-----------------------------------------------------
    City                 |    HARLINGEN
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    78553-1968
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    956-296-4673
-----------------------------------------------------
    Fax                  |    956-296-4674
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    INTERIM VP & CHIEF BUSINESS OFFICER
-----------------------------------------------------
    Name                 |     JESSICA  GRAHAM 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    843-408-6835
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QX0203X
-----------------------------------------------------
    Taxonomy Name        |    Radiation Oncology Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.