RGV Premier Health Services LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

114651 Issued in TX

Legal business name

RGV PREMIER HEALTH SERVICES LLC

Practice address

4413 W Business 83
Suite 8
McAllen, TX 78501-8607

Phone

(956) 605-4413

NPI assigned

Dec 2, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Noe Bazan, OTR

Title

Occupational Therapist

Phone

(956) 605-4413

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468281600000",
    "number": "1942675962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4413 W BUSINESS 83",
            "address_2": "SUITE 8",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785018607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4413 W BUSINESS 83",
            "address_2": "SUITE 8",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785018607",
            "telephone_number": "956-605-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RGV PREMIER HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-02",
        "last_updated": "2016-07-12",
        "status": "A",
        "authorized_official_last_name": "BAZAN",
        "authorized_official_first_name": "NOE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "956-605-4413",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "114651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in McAllen, TX
• Providers in McAllen, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.