| Rio Gastroenterology | |
|
3101 South 77 Sunshine Strip Suite A Harlingen TX 78550-8904 | |
| (956) 423-1050 | |
| (956) 423-1585 |
| Full Name | Rio Gastroenterology |
|---|---|
| Speciality | Internal Medicine |
| Location | 3101 South 77 Sunshine Strip, Harlingen, Texas |
| Authorized Official Name and Position | Dian Hope Green (OFFICE MANAGER) |
| Authorized Official Contact | 9564231050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rio Gastroenterology 3101 South 77 Sunshine Strip Suite A Harlingen TX 78550-8904 Ph: (956) 423-1050 | Rio Gastroenterology 3101 South 77 Sunshine Strip Suite A Harlingen TX 78550-8904 Ph: (956) 423-1050 |
| NPI Number | 1457447328 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 02/04/2010 |
| Medicare PECOS PAC ID | 8628016581 |
|---|---|
| Medicare Enrollment ID | O20050420001309 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457447328 | NPI | - | NPPES |
| 1734030 01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | M0738 (Texas) | Primary |
| Provider Name | Wayne D Green |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114906278 PECOS PAC ID: 0244137420 Enrollment ID: I20100222000409 |
| Provider Name | Gloria Cable |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104480029 PECOS PAC ID: 0042692543 Enrollment ID: I20220801000107 |
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