PRIMARY CARE GROUP AT RENAISSANCE (NPI# 1073048435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073048435 |
| Entity Type | Organization |
| Organization Name | PRIMARY CARE GROUP AT RENAISSANCE |
| Practice Address |
5501 S Mccoll Rd Edinburg TX 78539-5503 |
| Mailing Address |
Po Box 3724 Mcallen TX 78502-3724 |
| Practice Telephone | 9563622171 |
| Practice Fax Number | 9563622132 |
| Mailing Telephone | 9563622171 |
| Mailing Fax Number | 9563622132 |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2017-04-24 |
| Authorized Official Name | MRS. SUSAN TURLEY (CFO) |
| Authorized Official Telephone | 9563627469 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
5501 S MCCOLL RD |
| City | EDINBURG |
| State | TX |
| Zip Code | 78539-5503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356347892 | Robert Jon Lackamp | Radiology | 5501 S Mccoll Rd, Edinburg, TX 78539-5503 | 2005-06-21 |
| 1255941381 | Mabel Luciano | Surgery | 5501 S Mccoll Rd, Edinburg, TX 78539-5503 | 2020-08-04 |
| 1306463096 | Martha Maricela Solis Trevino | Student in an Organized Health Care Education/Training Program | 5501 S Mccoll Rd, Edinburg, TX 78539-5503 | 2020-06-29 |
| 1205452919 | Benson Thomas Plavilapadinjattethil | Registered Nurse | 5501 S Mccoll Rd, Edinburg, TX 78539-5503 | 2020-06-18 |
| 1942825567 | Benjamin Facer | Student in an Organized Health Care Education/Training Program | 5501 S Mccoll Rd, Edinburg, TX 78539-5503 | 2020-06-09 |
| 1831713445 | Ans Albustamy | Internal Medicine | 5501 S Mccoll Rd, Edinburg, TX 78539-5503 | 2020-05-31 |
| 1811511447 | Rohan Adiga | Physical Medicine & Rehabilitation | 5501 S Mccoll Rd, Edinburg, TX 78539-5503 | 2020-05-29 |
| 1326661398 | Emily Yoon | Internal Medicine | 5501 S Mccoll Rd, Edinburg, TX 78539-5503 | 2020-05-25 |
| 1407477870 | Joseph Eladio Caporusso | Student in an Organized Health Care Education/Training Program | 5501 S Mccoll Rd, Edinburg, TX 78539-5503 | 2020-04-27 |
| 1457971855 | Jose Antonio Rivera | Student in an Organized Health Care Education/Training Program | 5501 S Mccoll Rd, Edinburg, TX 78539-5503 | 2020-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033721782 | Ghizlane Elanbari | Internal Medicine | 502 S. Closner Blvd, Edinburg, TX 78539 | 2020-08-22 |
| 1235751728 | Natalia Cristina Pinto | Student in an Organized Health Care Education/Training Program | 5423 S. Mc Coll Rd, University of Texas Rw Grande Valley - Doctor's Hospita, Edinburg, TX 78539 | 2020-05-07 |
| 1235750092 | Juan Pablo Trejo Pacheco Torres | Student in an Organized Health Care Education/Training Program | 5423 S. Mccoll Rd, Edinburg, TX 78539 | 2020-05-04 |
| 1336775527 | Lifeline Pharmacy 1 LLC | Pharmacy | 2500 W Trenton Road, Suite 12, Edinburg, TX 78539 | 2020-03-19 |
| 1881234045 | Tina Michelle Wisdom | Nurse Practitioner | 5501 Rafael Drive, Edinburg, TX 78539 | 2020-01-15 |
| 1649838178 | Charles Medical Management Services, LLC | Clinical Medical Laboratory | 723 E. University, Edinburg, TX 78539 | 2019-05-30 |
| 1437716289 | Sawyer Lambert | Optometrist | 3804 So. Jackson Road, Suite #4, Edinburg, TX 78539 | 2019-05-28 |
| 1114480837 | Doctors Dermatology and Associates | Dermatology | 2605 W Trenton Rd, Edinburg, TX 78539 | 2019-04-09 |
| 1053872200 | Leonel Vela | Preventive Medicine | Utrgv School of Medicine, 1201 W. University Dr., Edinburg, TX 78539 | 2019-03-29 |
| 1477025997 | Lee Family Dentistry P.a. | Dentist | 3802 South Business 281, Edinburg, TX 78539 | 2018-12-21 |
| Find all providers in zip 78539 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134448400 | Edinburg Multi-specialty Medical Clinic LLC | Clinic/Center | 3226 W Alberta Rd, Edinburg, TX 78539-9635 | 2010-05-25 |
| 1811423197 | Renaissance Radiation Oncology | Clinic/Center | 5501 S Mccoll Rd, Edinburg, TX 78539-5503 | 2017-05-05 |
| 1740715820 | Renaissance Medical Oncology | Clinic/Center | 5501 S Mccoll Rd, Edinburg, TX 78539-5503 | 2017-04-26 |
| 1407381866 | Renaissance Primary Care | Clinic/Center | 5501 S Mccoll Rd, Edinburg, TX 78539-5503 | 2017-04-24 |
| 1174952907 | Renaissance Specialty Surgery | Clinic/Center | 5501 S Mccoll Rd, Edinburg, TX 78539-9152 | 2013-11-02 |
| 1386073203 | Renaissance Hospitalists | Clinic/Center | 5501 S Mccoll Rd, Edinburg, TX 78539-9152 | 2013-11-01 |
| 1659709780 | Renaissance Endocrinology | Clinic/Center | 5501 S Mccoll Rd, Edinburg, TX 78539-9152 | 2013-10-29 |
| 1295163327 | Renaissance Bmi | Clinic/Center | 5501 S Mccoll Rd, Edinburg, TX 78539-9152 | 2013-10-29 |
| 1336577477 | Renaissance Providers | Clinic/Center | 5501 S Mccoll Rd, Edinburg, TX 78539-9152 | 2013-10-29 |
| 1568890556 | Renaissance Gastroenterology | Clinic/Center | 5501 S Mccoll Rd, Edinburg, TX 78539-9152 | 2013-10-29 |
| Find all providers in EDINBURG | ||||
Please comment or provide details below to improve the information on PRIMARY CARE GROUP AT RENAISSANCE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.