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NPI Code Detail

MEDICARE: RGV ALLIED HEALTH GROUP, LLC.

MEDICARE: RGV ALLIED HEALTH GROUP, LLC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1477849107
Entity Type Code : Organization
Provider Name (Legal Business Name) : RGV ALLIED HEALTH GROUP, LLC.
Provider Business Mailing Address
First Line : 505 ANGELITA DR STE 7
Second Line :
City : WESLACO
State : TX
Zip : 78596-4790
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 505 ANGELITA DR STE 7
Second Line :
City : WESLACO
State : TX
Zip : 78596-4790
Country : US
Telephone Number : 956-968-0585
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ORLANDO VELAZQUEZ
Credential :
Telephone Number : 956-245-3390
Provider Enumeration Date : 06/21/2011
Last Update Date : 06/21/2011

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Directions to “RGV ALLIED HEALTH GROUP, LLC. ” Practice Location

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