Provider Demographics
NPI:1306186887
Name:DOCTORS HOSPITAL AT RENAISSANCE, LTD
Entity Type:Organization
Organization Name:DOCTORS HOSPITAL AT RENAISSANCE, LTD
Other - Org Name:RENAISSANCE LABORATORY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:V
Authorized Official - Last Name:BECKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-362-3096
Mailing Address - Street 1:PO BOX 3293
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78502-3293
Mailing Address - Country:US
Mailing Address - Phone:956-362-5620
Mailing Address - Fax:956-362-5649
Practice Address - Street 1:5501 S MCCOLL RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-9152
Practice Address - Country:US
Practice Address - Phone:956-362-5620
Practice Address - Fax:956-362-5649
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DOCTORS HOSPITAL AT RENAISSANCE, LTD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-02-21
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX007971291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory