Organization
RENAISSANCE GASTROENTEROLOGY
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) 362-2171
(956) 362-2132
Mailing address
PO BOX 6139, MCALLEN, TX 78502-6139
(956) 362-2171
(956) 362-3614
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
10/29/2013
Last updated
12/22/2025
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