| Rg Rheumatology Med Pllc | |
|
4531 Maplewood Ave Wichita Falls TX 76308-4609 | |
| (940) 767-3797 | |
| (940) 767-3591 |
| Full Name | Rg Rheumatology Med Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4531 Maplewood Ave, Wichita Falls, Texas |
| Authorized Official Name and Position | Ruth E Gonzalez (OWNER) |
| Authorized Official Contact | 9407673797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rg Rheumatology Med Pllc 4531 Maplewood Ave Wichita Falls TX 76308-4609 Ph: (940) 767-3797 | Rg Rheumatology Med Pllc 4531 Maplewood Ave Wichita Falls TX 76308-4609 Ph: (940) 767-3797 |
| NPI Number | 1245879675 |
|---|---|
| Provider Enumeration Date | 01/02/2020 |
| Last Update Date | 01/02/2020 |
| Medicare PECOS PAC ID | 5597172791 |
|---|---|
| Medicare Enrollment ID | O20210407000073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245879675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RR0500X | Internal Medicine - Rheumatology | (* (Not Available)) | Primary |
| Provider Name | Ruth E Gonzalez |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1659399087 PECOS PAC ID: 3173648268 Enrollment ID: I20100913000927 |
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