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Organization
MULTI-SPECIALTY AT RENAISSANCE
Active
Organization
MULTI-SPECIALTY AT RENAISSANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADA X GONZALEZ (ADMINISTRATOR)
(956) 362-2171
Entity
Organization
Contact information
Practice address
1421 N COL ROWE BLVD STE A, MCALLEN, TX 78501-2304
(956) 362-5030
(956) 362-5035
Mailing address
PO BOX 4767, MCALLEN, TX 78502-4767
(956) 362-2171
(956) 362-3614
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/24/2017
Last updated
12/26/2025
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