Organization · Type 2 NPI

RGV Kids Clinic PLLC

Family Nurse Practitioner · Edinburg, TX

NPI number 1497470124 Active

Practice location

1715 W. Tenton Rd, St. 204
Edinburg, TX 78539

Call (956) 270-4343 Map

Fax (956) 435-0018

Mailing address

1715 W Trenton Rd
Edinburg, TX 78539-1501

Specialties and licenses

Taxonomy	Code	License
Primary Care Clinic/Center	261QP2300X	None listed
Family Nurse Practitioner Primary	363LF0000X	None listed

Family Nurse Practitioner: Definition to come...

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NPI record

NPI: 1497470124
Entity type: Organization (Type 2)
Issued: Oct 5, 2022
Last updated: Mar 2, 2023
Status: Active

Other names

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RGV Medical Wellness and IV Infusion Clinic · doing business as

Authorized official

Dennis Madriaga Elefante & Ma Alona Larawan Jala
Owner
(956) 270-4343

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1497470124

RGV Kids Clinic PLLC's National Provider Identifier is 1497470124, issued on Oct 5, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Edinburg, TX. The record was last updated on Mar 2, 2023.