Healthcare Provider Details

I. General information

NPI: 1568302586
Provider Name (Legal Business Name): COLUMBIA RIO GRANDE HEALTHCARE, L.P.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 W GRIFFIN PKWY
MISSION TX
78572-2336
US

IV. Provider business mailing address

102 W GRIFFIN PKWY
MISSION TX
78572-2336
US

V. Phone/Fax

Practice location:
  • Phone: 956-445-1600
  • Fax:
Mailing address:
  • Phone: 956-445-1600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LAURA DISQUE
Title or Position: CEO
Credential:
Phone: 956-632-6100