Organization
RGV WELLNESS CENTER LLC
Active
Organization
RGV WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOLAN E PEREZ M.D. (CEO/PRESIDENT)
(956) 365-4400
Entity
Organization
Contact information
Practice address
512 VICTORIA LN STE 2, HARLINGEN, TX 78550-3227
(956) 365-4400
(956) 365-4111
Mailing address
512 VICTORIA LN STE 2, HARLINGEN, TX 78550-3227
(956) 365-4400
(956) 365-4111
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
TX
363AM0700X
Medical Physician Assistant
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003047523
NPI
TX
01
—
1184726986
NPI
TX
05
—
165207502
—
TX
05
—
288227601
—
TX
Enumeration date
04/14/2015
Last updated
04/14/2015
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