| Renaissance Gastroenterology | |
|
5501 S Mccoll Rd Edinburg TX 78539-9152 | |
| (956) 362-2171 | |
| (956) 362-2132 |
| Full Name | Renaissance Gastroenterology |
|---|---|
| Speciality | Clinic/Center |
| Location | 5501 S Mccoll Rd, Edinburg, Texas |
| Authorized Official Name and Position | Ada X Gonzalez (ADMINISTRATOR) |
| Authorized Official Contact | 9563622171 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renaissance Gastroenterology Po Box 6139 Mcallen TX 78502-6139 Ph: (956) 362-2171 | Renaissance Gastroenterology 5501 S Mccoll Rd Edinburg TX 78539-9152 Ph: (956) 362-2171 |
| NPI Number | 1568890556 |
|---|---|
| Provider Enumeration Date | 10/29/2013 |
| Last Update Date | 08/29/2022 |
| Medicare PECOS PAC ID | 7810110780 |
|---|---|
| Medicare Enrollment ID | O20140521001704 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568890556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Pamela Y Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659448835 PECOS PAC ID: 2365468576 Enrollment ID: I20051018000141 |
| Provider Name | Sandeep Natvarlal Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497764740 PECOS PAC ID: 7315902418 Enrollment ID: I20051020000106 |
| Provider Name | Asif Zamir |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215979596 PECOS PAC ID: 3971600420 Enrollment ID: I20070518000058 |
| Provider Name | Subrahmanyam Behara |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447278346 PECOS PAC ID: 5890761928 Enrollment ID: I20100222000470 |
| Provider Name | Carlos J Cardenas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023030574 PECOS PAC ID: 4880660919 Enrollment ID: I20100222000590 |
| Provider Name | S Murthy Badiga |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720059488 PECOS PAC ID: 7315934494 Enrollment ID: I20110503000650 |
| Provider Name | Henry R Herrera |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386961720 PECOS PAC ID: 6507156999 Enrollment ID: I20160525002782 |
| Provider Name | Nancy Escobar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154902906 PECOS PAC ID: 5890103436 Enrollment ID: I20210420000367 |
| Provider Name | Betty Philips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255982260 PECOS PAC ID: 8325441884 Enrollment ID: I20210722000243 |
| Provider Name | Juan Ignacio Sanchez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770901159 PECOS PAC ID: 6103165824 Enrollment ID: I20220716000149 |
| Provider Name | Victoria Abigail Villescas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134855984 PECOS PAC ID: 8123401056 Enrollment ID: I20220810001730 |
| Provider Name | Crystal Marie Ferron-carrales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336856715 PECOS PAC ID: 5496123507 Enrollment ID: I20221122000064 |
| Provider Name | Jimena Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649878778 PECOS PAC ID: 9638542145 Enrollment ID: I20230303001465 |
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