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Organization
RGV PREMIER HEALTH SERVICES LLC
Active
Organization
RGV PREMIER HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NOE BAZAN OTR (OCCUPATIONAL THERAPIST)
(956) 605-4413
Entity
Organization
Contact information
Practice address
4413 W BUSINESS 83, SUITE 8, MCALLEN, TX 78501-8607
(956) 605-4413
Mailing address
4413 W BUSINESS 83, SUITE 8, MCALLEN, TX 78501-8607
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
114651
TX
Other
Enumeration date
12/02/2015
Last updated
07/12/2016
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