Organization
RGV VAX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA HERNADEZ NP (NURSE PRACTITIONER)
(956) 739-8788
Entity
Organization
Contact information
Practice address
2606 E BUSINESS 83 STE 1, WESLACO, TX 78596-5139
(956) 739-8788
Mailing address
2606 E BUSINESS 83 STE 1, WESLACO, TX 78596-5139
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11888780
TX DL
TX
Enumeration date
03/24/2021
Last updated
03/24/2021
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