Provider Demographics
NPI:1669894028
Name:RMC ANESTHESIA
Entity type:Organization
Organization Name:RMC ANESTHESIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED REGISTERED NURSE ANESTHET
Authorized Official - Prefix:MR
Authorized Official - First Name:ROGELIO
Authorized Official - Middle Name:MAGDIEL
Authorized Official - Last Name:CANTU
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:956-334-3994
Mailing Address - Street 1:2906 ROBERT FROST
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-1999
Mailing Address - Country:US
Mailing Address - Phone:956-334-3994
Mailing Address - Fax:
Practice Address - Street 1:2010 S CYNTHIA ST
Practice Address - Street 2:SUITE 101
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1386
Practice Address - Country:US
Practice Address - Phone:956-664-9771
Practice Address - Fax:956-664-9773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-19
Last Update Date:2014-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX607412367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty