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Organization
RENAISSANCE MEDICAL FOUNDATION
Active
Organization
RENAISSANCE MEDICAL FOUNDATION
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 749, PHARR, TX 78577-1614
(956) 362-2171
(956) 362-3614
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
231H00000X
Audiologist
—
—
261Q00000X
Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
11/14/2007
Last updated
12/22/2025
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