Organization Active NPI

RGV Direct Care PLLC

  • Family Medicine Physician
  • Weslaco, TX
National Provider Identifier
1659142172
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Jan 12, 2024

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

Authorized official

Name
Fausto EscobedoNPI 1417344953
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2314685RGV Direct Care Family Clinic309 W Pike Blvd, Suite C, Weslaco, TX 78596Certificate of waiverNov 24, 2026

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.