Organization
RGV REHAB NORTH LLC
Active
Other names
Niskers-RGV Rehab-Brownsville, RGV Rehab North, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE A GONZALEZ (CFO/OWNER)
(956) 630-4400
Entity
Organization
Contact information
Practice address
4920 N. EXPRESSWAY 77, SUITE C, BROWNSVILLE, TX 78526
(956) 350-6696
(956) 350-6604
Mailing address
1900 S. JACKSON RD, STE 2, MCALLEN, TX 78503
(956) 630-4400
(956) 630-4447
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
TX
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154836401
—
TX
Enumeration date
01/24/2007
Last updated
08/29/2019
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