| Lower Rio Grande Valley Community Health Management Corporation Inc | |
|
901 E Vermont Ave Mcallen TX 78503-1729 | |
| (956) 213-6400 | |
| (956) 213-0692 |
| Full Name | Lower Rio Grande Valley Community Health Management Corporation Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 901 E Vermont Ave, Mcallen, Texas |
| Authorized Official Name and Position | Marisol Resendez (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9562136410 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lower Rio Grande Valley Community Health Management Corporation Inc 901 E Vermont Ave Mcallen TX 78503-1729 Ph: (956) 213-6400 | Lower Rio Grande Valley Community Health Management Corporation Inc 901 E Vermont Ave Mcallen TX 78503-1729 Ph: (956) 213-6400 |
| NPI Number | 1114130218 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 06/17/2021 |
| Medicare PECOS PAC ID | 0345211777 |
|---|---|
| Medicare Enrollment ID | O20040802000269 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114130218 | NPI | - | NPPES |
| 080028601 | Medicaid | TX | |
| DC0619 | Other | TX | RAILROAD MEDICARE |
| 0015BR | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Roberto Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780662288 PECOS PAC ID: 4688645013 Enrollment ID: I20080611000798 |
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