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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
207R00000X
Internal Medicine Physician
207RX0202X
Medical Oncology Physician
208800000X
Urology Physician
Primary
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
261QM1300X
Multi-Specialty Clinic/Center
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner
363LA2100X
Acute Care Nurse Practitioner
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
10/03/2012
Last updated
12/22/2025
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