Active NPI
RGV Direct Care PLLC
- Family Medicine Physician
- Weslaco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- RGV DIRECT CARE PLLC
- Practice address
- 309 W Pike Blvd Ste C
Weslaco, TX 78596-4723 - Phone
- (956) 581-8777
- NPI assigned
- Jan 12, 2024
- 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
- Fausto Escobedo
- Title
- Ceo
- Phone
- (956) 752-8341
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
309 W Pike Blvd Ste C
Weslaco, TX 78596-4723
Mailing address
309 W Pike Blvd Ste C
Weslaco, TX 78596-4723
Phone (956) 581-8777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240226000390 | TX | Part B Supplier - Clinic/Group Practice | 5092150482 |
Receives reassigned benefits from 1 practitioner Practice locations: Weslaco, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2314685 | RGV Direct Care Family Clinic | Certificate of waiver | Nov 24, 2026 |
National Provider Directory
National Provider DirectoryLocations
309 W Pike Blvd
Ste C
Weslaco, TX 78596
Phone (956) 271-0136
Practitioners & affiliated clinicians
Practitioners 1
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": "1705017600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705017600000",
"number": "1659142172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 W PIKE BLVD STE C",
"city": "WESLACO",
"state": "TX",
"postal_code": "785964723",
"telephone_number": "956-581-8777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 W PIKE BLVD STE C",
"city": "WESLACO",
"state": "TX",
"postal_code": "785964723",
"telephone_number": "956-581-8777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RGV DIRECT CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-12",
"last_updated": "2024-01-12",
"certification_date": "2024-01-12",
"status": "A",
"authorized_official_last_name": "ESCOBEDO",
"authorized_official_first_name": "FAUSTO",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "956-752-8341"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weslaco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.