Basic Information
| Provider Information | |||||||||
| NPI: | 1629059449 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RINGHEANU | ||||||||
| FirstName: | MIHAELA | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 512 VICTORIA LN STE 2 | ||||||||
| Address2: | |||||||||
| City: | HARLINGEN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 785503227 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9563654400 | ||||||||
| FaxNumber: | 9563654111 | ||||||||
| Practice Location | |||||||||
| Address1: | 1810 HALE AVE STE 9 | ||||||||
| Address2: | |||||||||
| City: | HARLINGEN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 785507532 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9564120055 | ||||||||
| FaxNumber: | 9564121455 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/09/2005 | ||||||||
| LastUpdateDate: | 04/22/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/22/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2080P0206X | L7536 | TX | Y | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Gastroenterology |
ID Information
| ID | Type | State | Issuer | Description | 163269701 | 05 | TX | MEDICAID | 163269702 | 05 | TX | MEDICAID | 163269703 | 05 | TX | MEDICAID |