Organization
RENAISSANCE EMERGENCY PHYSICIANS,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAVIER ELIAS CORTINAS M.D. (CHIEF EXECUTIVE)
(956) 687-9997
Entity
Organization
Contact information
Practice address
5501 S MCCOLL RD, EDINBURG, TX 78539-9152
(956) 664-1437
(956) 661-7361
Mailing address
4745 S JACKSON RD, EDINBURG, TX 78539-8309
(386) 274-7860
(833) 547-6525
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170447001
—
TX
Enumeration date
06/12/2006
Last updated
03/01/2021
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