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Contact Information

RGV PERIODONTICS AND ORAL SURGERY PLLC
302 LORENALY DR STE C
BROWNSVILLE, TX78526-4332
 Phone: 956-203-0550
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
 

Oral and Maxillofacial Pathology

1223P0106X
 

Oral and Maxillofacial Surgery

261QS0112X
 

Periodontics

1223P0300X
Indicates primary specialty

NPI Profile & details for RGV PERIODONTICS AND ORAL SURGERY PLLC · (Female)

NPI Number 1770339004
Status Active
Credentials
Entity Individual
Enumeration date 04/26/2024
Last updated 04/26/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX Medicaid 1255747523
  • TX Medicaid 1679927131
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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