# RENAISSANCE SURGERY GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215289129
- **Authorized official:** MRS. ADA X GONZALEZ (ADMINISTRATOR)
- **Authorized official phone:** (956) 362-2171

## Contact information

- **Practice address:** 5501 S MCCOLL RD, EDINBURG, TX 78539-9152
- **Practice address phone:** (956) 362-3300
- **Practice address fax:** (956) 362-7684
- **Mailing address:** PO BOX 3989, MCALLEN, TX 78502-3989
- **Mailing address phone:** (956) 362-2171
- **Mailing address fax:** (956) 362-3614

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |
| 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