| Doctors Hospital At Renaissance, Ltd | |
|
5510 Raphael Dr Edinburg TX 78539-1407 | |
| (956) 362-3300 | |
| (956) 362-3372 |
| Full Name | Doctors Hospital At Renaissance, Ltd |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 5510 Raphael Dr, Edinburg, Texas |
| Authorized Official Name and Position | Steven V Beckman (CFO) |
| Authorized Official Contact | 9563623065 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctors Hospital At Renaissance, Ltd Po Box 3293 Mcallen TX 78502-3293 Ph: (956) 362-8677 | Doctors Hospital At Renaissance, Ltd 5510 Raphael Dr Edinburg TX 78539-1407 Ph: (956) 362-3300 |
| NPI Number | 1568657583 |
|---|---|
| Provider Enumeration Date | 09/12/2007 |
| Last Update Date | 11/14/2023 |
| Certification Date | 11/14/2023 |
| Medicare PECOS PAC ID | 8224948476 |
|---|---|
| Medicare Enrollment ID | O20071120000648 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568657583 | NPI | - | NPPES |
| 160709501 | Medicaid | TX | |
| 450869 | Other | TX | MEDICARE PROVIDER NUMBER |
| 160709502 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 007971 (Texas) | Primary |
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