Renew Medical Spa Llc

  • 1164739025 NPI Number
  • |
  • Actived: 13 years ago
  • |
Renew Medical Spa Llc is a health care provider based in Texarkana, TX. The NPI Number is 1164739025 and it has been active since 13 years ago. The specialty is Medical Specialty, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Medical Specialty services, Renew Medical Spa Llc is an excellent option. We are here to help you get the care you need.

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Overview of Renew Medical Spa Llc

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 09/13/2010
  • Last updated: 02/06/2012

Primary Scrop of Practice

  • Taxonomy Code: 261QM2500X
  • Specialty: Medical Specialty
  • License Number: PA-190
  • License State: AR

Provider Mailing Address

  • Address: 3939 Texas Blvd
    Texarkana, TX 75503
  • Phone: 903-255-6398
  • Fax: 903-794-6304

Provider Practice Location

  • Address: 3939 Texas Blvd
    Texarkana, TX 75503
  • Phone: 903-255-6398
  • Fax: 903-794-6304

Authorized Official

  • Name: MRS. Theresa M Fontenot PA-C
  • Position/Title: Owner
  • Telephone Number: 903-255-6398

Scope of Practice

  • Taxonomy Code: 261QM2500X
  • Specialty: Medical Specialty
  • License Number: PA00892
  • License State: TX
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 4995690001
  • Identifier Type: Other
  • Identifier State: TX
  • Issuer: CIGNA GOVERMENT SERVICES

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Renew Medical Spa Llc?
  • A: The npi number for Renew Medical Spa Llc is 1164739025.
  • Q: What are Renew Medical Spa Llc's specialties?
  • A: Renew Medical Spa Llc's specialties are Medical Specialty and different specialities.
  • Q: Where is Renew Medical Spa Llc business practice location?
  • A: Renew Medical Spa Llc business practice location is 3939 Texas Blvd, Texarkana, TX 75503.
  • Q: How to contact Renew Medical Spa Llc?
  • A: You can contact Renew Medical Spa Llc via 903-255-6398.
  • Q: What is the authorized official for Renew Medical Spa Llc?
  • A: The authorized office name is MRS. Theresa M Fontenot PA-C with position/title is Owner and you can reach the authorized official via phone number 9032556398.
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