| Rgv Medical Wellness And Iv Infusion Clinic | |
|
1715 W. Tenton Rd St. 204 Edinburg TX 78539 | |
| (956) 270-4343 | |
| (956) 435-0018 |
| Full Name | Rgv Medical Wellness And Iv Infusion Clinic |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1715 W. Tenton Rd, Edinburg, Texas |
| Authorized Official Name and Position | Dennis Madriaga Elefante & Ma Alona Larawan Jala (OWNER) |
| Authorized Official Contact | 9562704343 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rgv Medical Wellness And Iv Infusion Clinic 1715 W Trenton Rd Edinburg TX 78539-1501 Ph: (956) 270-4343 | Rgv Medical Wellness And Iv Infusion Clinic 1715 W. Tenton Rd St. 204 Edinburg TX 78539 Ph: (956) 270-4343 |
| NPI Number | 1497470124 |
|---|---|
| Provider Enumeration Date | 10/05/2022 |
| Last Update Date | 03/02/2023 |
| Medicare PECOS PAC ID | 0244603405 |
|---|---|
| Medicare Enrollment ID | O20230309000194 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497470124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| Provider Name | Ma Alona L Jala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316463896 PECOS PAC ID: 6002908605 Enrollment ID: I20171018002969 |
| Provider Name | Dennis Madriaga Elefante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972112118 PECOS PAC ID: 3971976135 Enrollment ID: I20230309000291 |
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