Organization
RGV FOOTCARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUADALUPE JAVIER CAVAZOS JR. D.P.M. (OWNER)
(956) 618-2970
Entity
Organization
Contact information
Practice address
1401 E RIDGE RD, SUITE E, MCALLEN, TX 78503-1524
(956) 618-2970
(956) 618-2398
Mailing address
1401 E RIDGE RD, SUITE E, MCALLEN, TX 78503-1524
(956) 618-2970
(956) 618-2398
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
1263
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176854101
—
TX
Enumeration date
04/23/2007
Last updated
06/25/2008
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