NPI | 1497470124 |
---|---|
Doing Business As | RGV MEDICAL WELLNESS AND IV INFUSION CLINIC |
Entity Type | Organization |
Authorized Contact | DENNIS MADRIAGA ELEFANTE & MA ALONA LARAWAN JALA Owner 956-270-4343 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2022-10-05 |
Last Update Date | 2023-03-02 |