# RENAISSANCE UROLOGY CENTERS PA

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

## Provider details

- **NPI number:** 1912916131
- **Authorized official:** MICHAEL Y SEIBA MD (OWNER)
- **Authorized official phone:** (956) 683-7342

## Contact information

- **Practice address:** 2717 CORNERSTONE BLVD, EDINBURG, TX 78539-8464
- **Practice address phone:** (956) 683-7342
- **Practice address fax:** (953) 683-0957
- **Mailing address:** PO BOX 720657, MCALLEN, TX 78504-0657
- **Mailing address phone:** (956) 683-7342
- **Mailing address fax:** (956) 683-0957

## Taxonomy

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

## Other

- **Enumeration date:** 08/05/2006
- **Last updated:** 06/10/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0046KY | BC/BS | TX |
| 05 | — | 164633301 | — | TX |
| 01 | — | DB0026 | RAILROAD MEDICARE | TX |