Provider Demographics
NPI:1801508684
Name:RGV REGENERATIVE WOUND CARE LLC
Entity type:Organization
Organization Name:RGV REGENERATIVE WOUND CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:
Authorized Official - Last Name:DEL BOSQUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-715-8292
Mailing Address - Street 1:300 E NOLANA LOOP
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-9684
Mailing Address - Country:US
Mailing Address - Phone:956-715-8292
Mailing Address - Fax:956-715-8283
Practice Address - Street 1:300 E NOLANA LOOP
Practice Address - Street 2:
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-9684
Practice Address - Country:US
Practice Address - Phone:956-715-8292
Practice Address - Fax:956-715-8283
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-23
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center