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NPI Code Detail

MEDICARE: DOCTORS HOSPITAL AT RENAISSANCE, LTD

MEDICARE: DOCTORS HOSPITAL AT RENAISSANCE, LTD
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
1261QA1903XAmbulatory Surgical Clinic/Center
2282N00000XGeneral Acute Care Hospital007971TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2160709504OTHERTXCSHCN
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4HH1032OTHERTXBLUE CROSS
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053317362
Entity Type Code : Organization
Provider Name (Legal Business Name) : DOCTORS HOSPITAL AT RENAISSANCE, LTD
Provider Business Mailing Address
First Line : PO BOX 3293
Second Line :
City : MCALLEN
State : TX
Zip : 78502-3293
Country : US
Telephone Number : 956-362-8677
Fax Number : 956-362-3372
Provider Business Practice Location Address
First Line : 5501 S MCCOLL RD
Second Line :
City : EDINBURG
State : TX
Zip : 78539-9152
Country : US
Telephone Number : 956-362-3300
Fax Number : 956-362-3372
Authorized Official
Title or Position : CFO
Name : MR. STEVEN V BECKMAN
Credential :
Telephone Number : 956-362-3065
Provider Enumeration Date : 06/22/2005
Last Update Date : 11/14/2023

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Directions to “DOCTORS HOSPITAL AT RENAISSANCE, LTD ” Practice Location

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