Provider Demographics
NPI:1801877212
Name:RIO GRANDE VALLEY EMERGENCY PHYSICIANS PLLC
Entity type:Organization
Organization Name:RIO GRANDE VALLEY EMERGENCY PHYSICIANS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OSCAR
Authorized Official - Middle Name:
Authorized Official - Last Name:TIJERINA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-702-7900
Mailing Address - Street 1:6316 N 10TH ST BLDG G
Mailing Address - Street 2:SUITE 702
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-3233
Mailing Address - Country:US
Mailing Address - Phone:956-972-0093
Mailing Address - Fax:956-972-0094
Practice Address - Street 1:1401 E 8TH ST
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-6640
Practice Address - Country:US
Practice Address - Phone:956-968-8567
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-11
Last Update Date:2009-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0024JSOtherBCBS
TX167444202Medicaid
TX167444203OtherCSHCN
TX167444203OtherCSHCN
TXDC2091Medicare PIN