Basic Information
| Provider Information | |||||||||
| NPI: | 1073746830 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MCALLEN HEART INSTITUTE, INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 500 E RIDGE RD STE 201 | ||||||||
| Address2: | |||||||||
| City: | MCALLEN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 785031508 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9566309430 | ||||||||
| FaxNumber: | 9566862608 | ||||||||
| Practice Location | |||||||||
| Address1: | 500 E RIDGE RD | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | MCALLEN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 785031506 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9566309430 | ||||||||
| FaxNumber: | 9566862608 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/27/2009 | ||||||||
| LastUpdateDate: | 08/27/2009 | ||||||||
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| AuthorizedOfficialLastName: | RODRIGUEZ-SALINAS | ||||||||
| AuthorizedOfficialFirstName: | FILIBERTO | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 9566309430 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2086S0129X | L1989 | TX | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Surgery | Vascular Surgery | 208G00000X | G4201 | TX | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
No ID Information.