Organization
RENAISSANCE SPECIALIST CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADA X GONZALEZ (VP)
(956) 362-2171
Entity
Organization
Contact information
Practice address
5501 S MCCOLL RD, EDINBURG, TX 78539-5503
(956) 362-2171
(956) 362-3614
Mailing address
5501 S MCCOLL RD, EDINBURG, TX 78539-5503
(956) 362-2171
(956) 362-3614
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
10/29/2025
Last updated
10/29/2025
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