Organization
RGV RADIOLOGY, PLLC
Active
Other names
Renaissance Medical Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY PALLARES MD (PRESIDENT)
(956) 661-7558
Entity
Organization
Contact information
Practice address
5501 S MCCOLL RD, EDINBURG, TX 78539-9152
(956) 661-7100
Mailing address
4100 INTERNATIONAL PLZ, SUITE 240, FORT WORTH, TX 76109-4820
(817) 570-7300
(817) 570-7062
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
07/28/2010
Last updated
12/16/2011
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