Active NPI
RGV Surgical Associates, PLLC
- Surgery Physician
- Mission, TX
National Provider Identifier
1164055166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- RGV SURGICAL ASSOCIATES, PLLC
- Practice address
- 910 S Bryan Rd Ste 202
Mission, TX 78572-6659 - Phone
- (956) 682-6126
- Fax
- (956) 580-0464
- NPI assigned
- Feb 18, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Maricela Castillo
- Title
- Office Manager
- Phone
- (956) 682-6126
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
910 S Bryan Rd Ste 202
Mission, TX 78572-6659
Mailing address
910 S Bryan Rd Ste 202
Mission, TX 78572-6659
Phone (956) 682-6126
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200420001182 | TX | Part B Supplier - Clinic/Group Practice | 7315377157 |
Receives reassigned benefits from 2 practitioners Practice locations: Mission, TX |
National Provider Directory
National Provider DirectoryLocations
910 S Bryan Rd
Mission, TX 78572
Phone (956) 519-8188
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581984000000",
"number": "1164055166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 S BRYAN RD STE 202",
"city": "MISSION",
"state": "TX",
"postal_code": "785726659",
"telephone_number": "956-682-6126",
"fax_number": "956-580-0464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 S BRYAN RD STE 202",
"city": "MISSION",
"state": "TX",
"postal_code": "785726659",
"telephone_number": "956-682-6126",
"fax_number": "956-580-0464"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RGV SURGICAL ASSOCIATES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-18",
"last_updated": "2020-02-18",
"certification_date": "2020-02-18",
"status": "A",
"authorized_official_last_name": "CASTILLO",
"authorized_official_first_name": "MARICELA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "956-682-6126",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mission, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.