Provider Demographics
NPI:1225816168
Name:RGV CENTER FOR OBESITY AND METABOLIC HEALTH PLLC
Entity Type:Organization
Organization Name:RGV CENTER FOR OBESITY AND METABOLIC HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICAL, PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DIMPLE
Authorized Official - Middle Name:
Authorized Official - Last Name:DESAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-854-1306
Mailing Address - Street 1:1019 S UTAH AVE
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-5588
Mailing Address - Country:US
Mailing Address - Phone:956-647-5000
Mailing Address - Fax:956-375-2010
Practice Address - Street 1:1019 S UTAH AVE
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-5588
Practice Address - Country:US
Practice Address - Phone:956-647-5000
Practice Address - Fax:956-375-2010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207QB0002XAllopathic & Osteopathic PhysiciansFamily MedicineObesity MedicineGroup - Multi-Specialty