| Rgv Prime Clinic Pllc | |
|
3001 N 23rd St Ste 4 Mcallen TX 78501-6179 | |
| (956) 800-1303 | |
| (956) 800-1304 |
| Full Name | Rgv Prime Clinic Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 3001 N 23rd St Ste 4, Mcallen, Texas |
| Authorized Official Name and Position | Miguel Tamayo (PHYSICIAN) |
| Authorized Official Contact | 9568001303 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rgv Prime Clinic Pllc 3001 N 23rd St Ste 4 Mcallen TX 78501-6179 Ph: (956) 800-1303 | Rgv Prime Clinic Pllc 3001 N 23rd St Ste 4 Mcallen TX 78501-6179 Ph: (956) 800-1303 |
| NPI Number | 1164269288 |
|---|---|
| Provider Enumeration Date | 07/15/2024 |
| Last Update Date | 11/14/2024 |
| Medicare PECOS PAC ID | 6103366869 |
|---|---|
| Medicare Enrollment ID | O20240909002083 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164269288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Miguel Tamayo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306474697 PECOS PAC ID: 2567834757 Enrollment ID: I20230216002176 |
| Provider Name | Jorge Ricardo Duarte Solis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083269534 PECOS PAC ID: 5395103055 Enrollment ID: I20230628001104 |
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