Provider Demographics
| NPI: | 1487411237 |
|---|---|
| Name: | RGV VASCULAR & VEIN INSTITUTE PLLC |
| Entity type: | Organization |
| Organization Name: | RGV VASCULAR & VEIN INSTITUTE PLLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | PRACTICE ADMINISTRATOR |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | DALIA |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | COBOS |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 956-997-6000 |
| Mailing Address - Street 1: | 1317 ST CLAIRE BLVD STE A5 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | MISSION |
| Mailing Address - State: | TX |
| Mailing Address - Zip Code: | 78572-6636 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 956-997-6000 |
| Mailing Address - Fax: | 956-997-0614 |
| Practice Address - Street 1: | 910 E 8TH ST STE 11 |
| Practice Address - Street 2: | |
| Practice Address - City: | WESLACO |
| Practice Address - State: | TX |
| Practice Address - Zip Code: | 78596-4201 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 956-997-6000 |
| Practice Address - Fax: | 956-997-0614 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2024-02-28 |
| Last Update Date: | 2024-02-28 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | Group - Single Specialty |