Organization
RGV SENIOR CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE A. GONZALEZ (BUSINESS MANAGER)
(956) 994-3880
Entity
Organization
Contact information
Practice address
2529 W TRENTON RD, EDINBURG, TX 78539-5070
(956) 994-3880
(956) 994-3877
Mailing address
2529 W TRENTON RD, EDINBURG, TX 78539-5070
(956) 994-3880
(956) 994-3877
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00613R
MEDICARE PART B
TX
05
—
146848001
—
TX
Enumeration date
10/11/2006
Last updated
04/24/2008
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