Provider Demographics
NPI:1295033058
Name:RGVO 20 MIN CLINIC,LLC
Entity Type:Organization
Organization Name:RGVO 20 MIN CLINIC,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GUILLERMO
Authorized Official - Middle Name:R
Authorized Official - Last Name:PECHERO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-686-6510
Mailing Address - Street 1:1005 E NOLANA LOOP
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-6101
Mailing Address - Country:US
Mailing Address - Phone:956-686-6510
Mailing Address - Fax:956-688-6674
Practice Address - Street 1:1005 E NOLANA LOOP
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-6101
Practice Address - Country:US
Practice Address - Phone:956-686-6510
Practice Address - Fax:956-688-6674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-03
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty