MEDICARE: COLUMBIA RIO GRANDE HEALTHCARE, L.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QE0002X	Emergency Care Clinic/Center

General Provider Information

NPI Number	:	1801721022
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLUMBIA RIO GRANDE HEALTHCARE, L.P.

Provider Business Mailing Address
First Line	:	5100 W EXPRESSWAY 83
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78501-3048
Country	:	US
Telephone Number	:	956-928-7200
Fax Number	:

Provider Business Practice Location Address
First Line	:	5100 W EXPRESSWAY 83
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78501-3048
Country	:	US
Telephone Number	:	956-928-7200
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	LAURA DISQUE
Credential	:
Telephone Number	:	956-928-7200

Provider Enumeration Date	:	06/17/2026
Last Update Date	:	06/17/2026

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