Active NPI
RGV Day & Night Clinic LLC
- Internal Medicine Physician
- Brownsville, TX
National Provider Identifier
1679725915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- RGV DAY & NIGHT CLINIC LLC
- Practice address
- 425 E Los Ebanos Blvd
Suite 104
Brownsville, TX 78520-8481 - Phone
- (956) 542-2520
- Fax
- (956) 544-2580
- NPI assigned
- Oct 17, 2008
- Organization subpart
- Yes
- Parent organization
- MEDICAL ASSOCIATES OF BROWNSVILLE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chris Tryka, CPC, CPMA
- Title
- Practice Manager
- Phone
- (956) 546-3116
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
425 E Los Ebanos Blvd
Suite 104
Brownsville, TX 78520-8481
Mailing address
425 E Los Ebanos Blvd
Suite 100
Brownsville, TX 78520-8481
Phone (956) 546-3116
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080669701 | Medicaid | TX |
Other names 1
- Medical Associates of Brownsville
National Provider Directory
National Provider Directory- Tax ID family
- Spi Clinic PLLC
- Part of
- Spi Clinic PLLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Internal Medicine Physician
- South Padre Island, TX
- NPI 1699087650
-
- Vascular Surgery Physician
- Brownsville, TX
- NPI 1861735771
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EIBBAA
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Internal Medicine Physician
- Brownsville, TX
- NPI 1912973108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592784000000",
"number": "1679725915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 E LOS EBANOS BLVD",
"address_2": "SUITE 100",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785208481",
"telephone_number": "956-546-3116",
"fax_number": "956-546-8793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 E LOS EBANOS BLVD",
"address_2": "SUITE 104",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785208481",
"telephone_number": "956-542-2520",
"fax_number": "956-544-2580"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RGV DAY & NIGHT CLINIC LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MEDICAL ASSOCIATES OF BROWNSVILLE",
"enumeration_date": "2008-10-17",
"last_updated": "2020-06-22",
"certification_date": "2020-06-22",
"status": "A",
"authorized_official_last_name": "TRYKA",
"authorized_official_first_name": "CHRIS",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "956-546-3116",
"authorized_official_credential": "CPC, CPMA"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "080669701",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Medical Associates of Brownsville",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Medical Associates of Brownsville",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Brownsville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.