Organization
RGV VASCULAR LABS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD M MCCALL RN RVT (TECHNICAL DIRECTOR)
(956) 686-2488
Entity
Organization
Contact information
Practice address
1200 E RIDGE RD, STE 10, MCALLEN, TX 78503-1527
(956) 686-2488
(956) 630-4964
Mailing address
1200 E RIDGE RD, STE 10, MCALLEN, TX 78503-1527
(956) 686-2488
(956) 630-4964
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0029CC
BCBS
TX
05
—
1095713-01
—
TX
01
—
470000276
RAILROAD MEDICARE
TX
Enumeration date
07/22/2005
Last updated
01/06/2012
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