Organization
SOUTH TEXAS WOMEN'S HEALTH CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN CARLOS CARLOS RIVERA M.D. (OWNER)
(956) 630-0090
Entity
Organization
Contact information
Practice address
5419 SOUTH MCCOLL ROAD, EDINBURG, TX 78539-9183
(956) 630-0090
(956) 630-0099
Mailing address
5419 SOUTH MCCOLL ROAD, EDINBURG, TX 78539-9183
(956) 630-0090
(956) 630-0099
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M4476
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190564801
—
TX
Enumeration date
01/28/2008
Last updated
12/14/2010
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