Organization
RENAISSANCE UROLOGY CENTERS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL Y SEIBA MD (OWNER)
(956) 683-7342
Entity
Organization
Contact information
Practice address
2717 CORNERSTONE BLVD, EDINBURG, TX 78539-8464
(956) 683-7342
(953) 683-0957
Mailing address
PO BOX 720657, MCALLEN, TX 78504-0657
(956) 683-7342
(956) 683-0957
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0046KY
BC/BS
TX
05
—
164633301
—
TX
01
—
DB0026
RAILROAD MEDICARE
TX
Enumeration date
08/05/2006
Last updated
06/10/2015
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