Provider Demographics
NPI:1386125979
Name:MCCALLAN, RITA TROY (PMHNP)
Entity type:Individual
Prefix:MRS
First Name:RITA
Middle Name:TROY
Last Name:MCCALLAN
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4309 N 10TH ST STE F2
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-3059
Mailing Address - Country:US
Mailing Address - Phone:956-306-8703
Mailing Address - Fax:325-222-0562
Practice Address - Street 1:4309 N 10TH ST STE F2
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-3059
Practice Address - Country:US
Practice Address - Phone:956-306-8703
Practice Address - Fax:325-222-0562
Is Sole Proprietor?:No
Enumeration Date:2018-08-22
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX693331363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health