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	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1801728571
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLUMBIA RIO GRANDE HEALTHCARE, L.P.

Provider Business Mailing Address
First Line	:	5018 N 10TH ST
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78504-2832
Country	:	US
Telephone Number	:	956-682-0502
Fax Number	:

Provider Business Practice Location Address
First Line	:	5018 N 10TH ST
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78504-2832
Country	:	US
Telephone Number	:	956-682-0502
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	LAURA DISQUE
Credential	:
Telephone Number	:	956-632-6100

Provider Enumeration Date	:	05/29/2026
Last Update Date	:	05/29/2026

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