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Organization
RGV KIDS CLINIC PLLC
Active
Organization
RGV KIDS CLINIC PLLC
Active
Other names
RGV MEDICAL WELLNESS AND IV INFUSION CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS MADRIAGA ELEFANTE & MA ALONA LARAWAN JALA (OWNER)
(956) 270-4343
Entity
Organization
Contact information
Practice address
1715 W. TENTON RD, ST. 204, EDINBURG, TX 78539
(956) 270-4343
(956) 435-0018
Mailing address
1715 W TRENTON RD, EDINBURG, TX 78539-1501
(956) 270-4343
(956) 435-0018
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/05/2022
Last updated
03/02/2023
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