| Rio Grande Valley Children's Dentistry | |
|
413 W Sam Houston Blvd Pharr TX 78577-5349 | |
| (956) 781-8880 | |
| (956) 781-8977 |
| Full Name | Rio Grande Valley Children's Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 413 W Sam Houston Blvd, Pharr, Texas |
| Authorized Official Name and Position | Jesus Hector Trevino (DENTIST/PRESIDENT) |
| Authorized Official Contact | 9567818880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rio Grande Valley Children's Dentistry 413 W Sam Houston Blvd Pharr TX 78577-5349 Ph: (956) 781-8880 | Rio Grande Valley Children's Dentistry 413 W Sam Houston Blvd Pharr TX 78577-5349 Ph: (956) 781-8880 |
| NPI Number | 1093897951 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 07/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093897951 | NPI | - | NPPES |
| 161103001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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