Professional Psychiatric Associates of RGV, PLLC
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Donna, TX
NPI 1124751896 · NPPES record last updated Oct 17, 2022
Key facts
- NPI
- 1124751896
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- PROFESSIONAL PSYCHIATRIC ASSOCIATES OF RGV, PLLC
- Practice address
- 104 North Salinas Blvd
Suite-a
Donna, TX 78537 - Phone
- (956) 377-5400
- Fax
- (956) 377-5509
- NPI assigned
- Jul 8, 2022
- Organization subpart
- No
Authorized official
- Name
- Michael A Flores, MD
- Title
- Owner
- Phone
- (956) 377-5400
Practitioners 3
-
Martin I Hinojosa, MSN, APRN, PMHNP-BC
-
Gloria Lee Cable, RN - FNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220920000692 | TX | Part B Supplier - Clinic/Group Practice | 8527443092 |
Receives reassigned benefits from 3 practitioners Practice locations: Donna, TX |
National Provider Directory
Locations
104 N Salinas Blvd
Donna, TX 78537
Phone (856) 377-5400
104 N Salinas Blvd
Ste A
Donna, TX 78537
Phone (956) 377-5710
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes | ||
| Physician Assistant |
363A00000X |
Addresses
Primary practice location
104 North Salinas Blvd
Suite-a
Donna, TX 78537
Mailing address
104 North Salinas Blvd
Suite -a
Donna, TX 78537
Phone (956) 377-5710
Other providers in Donna, TX
- Kelly Perez-Trevino
- Celina Perez
- Kathy Ann Perez
- Rosa Angelica Perez
- Lee Prado
- Sandra Quintanilla
- R.L. Partners, LLC
- Ramiro M. Construction
- Jessica Ramos
- Renal Treatment Centers-Southeast, LP.
All providers in Donna, TX · Mental Health Clinic/Center (Including Community Mental Health Center) in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.