| Renew Sleep Llc | |
|
3819 22nd Pl Lubbock TX 79410-1117 | |
| (806) 793-5454 | |
| Not Available |
| Full Name | Renew Sleep Llc |
|---|---|
| Speciality | Dentist |
| Location | 3819 22nd Pl, Lubbock, Texas |
| Authorized Official Name and Position | Elizabeth Beard (DENTIST) |
| Authorized Official Contact | 8067935454 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renew Sleep Llc 4315 28th St Lubbock TX 79410-2507 Ph: () - | Renew Sleep Llc 3819 22nd Pl Lubbock TX 79410-1117 Ph: (806) 793-5454 |
| NPI Number | 1568116812 |
|---|---|
| Provider Enumeration Date | 02/07/2022 |
| Last Update Date | 11/07/2023 |
| Medicare PECOS PAC ID | 3779929153 |
|---|---|
| Medicare Enrollment ID | O20240307001968 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568116812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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