Individual
MR. VERGIL C. DATU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, MSN, FNP, AGACNP
Contact information
Practice address
1401 E. 8TH STREET, WESLACO, TX 78596
(833) 887-4863
(956) 296-6857
Mailing address
5215 S MCCOLL RD, EDINBURG, TX 78539-7861
(956) 631-7100
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP118278
TX
363LF0000X
Family Nurse Practitioner
620360
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3116535-08
—
TX
01
—
H08LX10001
BCBS
TX
Enumeration date
10/04/2009
Last updated
05/29/2025
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