Organization Active NPI

Rio Grande Ear Nose Throat PA

  • Otolaryngology Physician
  • Harlingen, TX
National Provider Identifier
1770529257
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
L0455 Issued in TX
Legal business name
RIO GRANDE EAR NOSE THROAT PA
Practice address
1901 N Ed Carey Dr
Suite 200
Harlingen, TX 78550-8255
Phone
(956) 425-9090
Fax
(956) 425-9092
NPI assigned
Jun 21, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Tan Duong Nguyen, M.D.NPI 1639106107
Title
Owner
Phone
(956) 425-9090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

1629 Treasure Hills Blvd
Harlingen, TX 78550
Phone (956) 366-4500

1901 N Ed Carey Dr
Ste 200
Harlingen, TX 78550
Phone (956) 230-1210

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X L0455 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

1901 N Ed Carey Dr
Suite 200
Harlingen, TX 78550-8255

Mailing address

1901 N Ed Carey Dr
Suite 200
Harlingen, TX 78550-8255
Phone (956) 425-9090

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
164128401MedicaidTX

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 19, 2008.

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1770529257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 N ED CAREY DR",
            "address_2": "SUITE 200",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508255",
            "telephone_number": "956-425-9090",
            "fax_number": "956-425-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N ED CAREY DR",
            "address_2": "SUITE 200",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508255",
            "telephone_number": "956-425-9090",
            "fax_number": "956-425-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIO GRANDE EAR NOSE THROAT PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TAN",
        "authorized_official_middle_name": "DUONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-425-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "L0455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164128401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.