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General NPI Number Information
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NPI Number | 1669282323
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF TEXAS RIO GRANDE VALLEY
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Dates
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Enumeration Date | 01/13/2025
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 1400 N COMMERCE CENTER STREET STE 1.502
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City | MCALLEN
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State | TX
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Zip | 78501-3185
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Country | US
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Telephone | 956-296-2273
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Fax | 956-296-2274
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Provider Business Mailing Address
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Address Line | PO BOX 531968
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City | HARLINGEN
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State | TX
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Zip | 78553-1968
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Country | US
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Telephone | 956-296-1437
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Fax | 956-296-6842
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Authorized Official
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Title or Position | INTERIM VP & CHIEF BUSINESS OFFICER
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Name | JESSICA GRAHAM
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Credential |
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Telephone | 843-408-6835
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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