| Rgv Wellness Center Llc | |
|
512 Victoria Ln Ste 2 Harlingen TX 78550-3227 | |
| (956) 365-4400 | |
| (956) 365-4111 |
| Full Name | Rgv Wellness Center Llc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 512 Victoria Ln Ste 2, Harlingen, Texas |
| Authorized Official Name and Position | Nolan E Perez (CEO/PRESIDENT) |
| Authorized Official Contact | 9563654400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rgv Wellness Center Llc 512 Victoria Ln Ste 2 Harlingen TX 78550-3227 Ph: (956) 365-4400 | Rgv Wellness Center Llc 512 Victoria Ln Ste 2 Harlingen TX 78550-3227 Ph: (956) 365-4400 |
| NPI Number | 1649666991 |
|---|---|
| Provider Enumeration Date | 04/14/2015 |
| Last Update Date | 04/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649666991 | NPI | - | NPPES |
| 165207502 | Medicaid | TX | |
| 288227601 | Medicaid | TX | |
| 1003047523 | Other | TX | NPI |
| 1184726986 | Other | TX | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (Texas) | Primary |
| 363AM0700X | Physician Assistant - Medical | (Tennessee) | Secondary |
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