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Organization
RENAISSANCE SURGERY GROUP
Active
Organization
RENAISSANCE SURGERY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ADA X GONZALEZ (ADMINISTRATOR)
(956) 362-2171
Entity
Organization
Contact information
Practice address
5501 S MCCOLL RD, EDINBURG, TX 78539-9152
(956) 362-3300
(956) 362-7684
Mailing address
PO BOX 3989, MCALLEN, TX 78502-3989
(956) 362-2171
(956) 362-3614
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RX0202X
Medical Oncology Physician
—
NULL
207RX0202X
Medical Oncology Physician
—
—
208800000X
Urology Physician
Primary
—
NULL
208800000X
Urology Physician
Primary
—
—
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
—
NULL
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LA2100X
Acute Care Nurse Practitioner
—
NULL
363LA2100X
Acute Care Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
10/03/2012
Last updated
12/22/2025
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