Provider Demographics
NPI:1871350413
Name:RGV VASCULAR & VEIN AT EDINBURG
Entity type:Organization
Organization Name:RGV VASCULAR & VEIN AT EDINBURG
Other - Org Name:<UNAVAIL>
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 1:1621 S CLOSNER BLVD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-6319
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:2024-02-29
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty