Provider Demographics
NPI:1295959062
Name:RENAISSANCE ORTHOPAEDICS P A
Entity type:Organization
Organization Name:RENAISSANCE ORTHOPAEDICS P A
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ORTHOPAEDIC SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:SWEENEY
Authorized Official - Suffix:II
Authorized Official - Credentials:MD
Authorized Official - Phone:956-664-2600
Mailing Address - Street 1:P.O. BOX 2436
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78502-2436
Mailing Address - Country:US
Mailing Address - Phone:956-664-2600
Mailing Address - Fax:956-664-9141
Practice Address - Street 1:800 E DOVE AVE
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-2248
Practice Address - Country:US
Practice Address - Phone:956-664-2600
Practice Address - Fax:956-664-9141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH3948174400000X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX079881101Medicaid
TX079881101Medicaid
TX0009CGMedicare PIN
TX0009CGMedicare ID - Type Unspecified