NPIMap

Organization Active NPI

Rio Grande State Center

  • Health Service Clinic/Center
  • Harlingen, TX
National Provider Identifier
1083961403
Registry record updated Aug 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
DT82349 Issued in TX
Legal business name
RIO GRANDE STATE CENTER
Practice address
1401 S Rangerville Rd
Harlingen, TX 78552-7638
Phone
(956) 364-8375
NPI assigned
Aug 6, 2012
Last updated
Aug 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. David Moron, MDNPI 1467487330
Title
Clinical Director
Phone
(956) 364-8375

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X DT82349 TX Primary

Addresses

Primary practice location

1401 S Rangerville Rd
Harlingen, TX 78552-7638

Mailing address

1401 S Rangerville Rd
Harlingen, TX 78552-7638
Phone (956) 364-8375

National Provider Directory

National Provider Directory
Tax ID family
Waco Center for Youth17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

1401 S Rangerville Rd
Harlingen, TX 78552
Phone (956) 364-8000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344211200000",
    "number": "1083961403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S RANGERVILLE RD",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785527638",
            "telephone_number": "956-364-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S RANGERVILLE RD",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785527638",
            "telephone_number": "956-364-8375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIO GRANDE STATE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-06",
        "last_updated": "2012-08-06",
        "status": "A",
        "authorized_official_last_name": "MORON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "956-364-8375",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "TX",
            "license": "DT82349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.