Provider Demographics
NPI:1679683429
Name:RIO GRANDE VALLEY BEHAVIORAL HEALTH PC
Entity Type:Organization
Organization Name:RIO GRANDE VALLEY BEHAVIORAL HEALTH PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARY
Authorized Official - Middle Name:REGINA
Authorized Official - Last Name:STRIEGEL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:956-994-1251
Mailing Address - Street 1:PO BOX 4585
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78502-4585
Mailing Address - Country:US
Mailing Address - Phone:956-630-1616
Mailing Address - Fax:956-630-4733
Practice Address - Street 1:801 E NOLANA ST
Practice Address - Street 2:SUITE 17
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-6104
Practice Address - Country:US
Practice Address - Phone:956-630-1616
Practice Address - Fax:956-630-4733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2011-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX30757261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0A0200Medicare PIN