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Organization

RENAISSANCE ENDOCRINOLOGY

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 2646, MCALLEN, TX 78502-2646
(956) 362-2171
(956) 362-3614

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
2080P0205X
Pediatric Endocrinology Physician
208600000X
Surgery Physician
261QM1300X
Multi-Specialty Clinic/Center
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
10/29/2013
Last updated
12/22/2025
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