| Diabetic Renewal Center Llc | |
|
1015 Pruitt Pl Ste 105 Tyler TX 75703-1154 | |
| (903) 528-6000 | |
| (903) 526-0565 |
| Full Name | Diabetic Renewal Center Llc |
|---|---|
| Speciality | Clinic/center - Infusion Therapy |
| Location | 1015 Pruitt Pl Ste 105, Tyler, Texas |
| Authorized Official Name and Position | Jeff E Dethlefsen (OWNER) |
| Authorized Official Contact | 9032586000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diabetic Renewal Center Llc 1015 Pruitt Pl Ste 105 Tyler TX 75703-1154 Ph: (903) 258-6000 | Diabetic Renewal Center Llc 1015 Pruitt Pl Ste 105 Tyler TX 75703-1154 Ph: (903) 528-6000 |
| NPI Number | 1750764189 |
|---|---|
| Provider Enumeration Date | 07/02/2015 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750764189 | NPI | - | NPPES |
Pure Radiance Laser Retreat Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6722 S Broadway Ave, Tyler, TX 75703 Phone: 903-561-0300 | |
Clifford D. Mullins, D.c., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14653 Eastside Rd, Tyler, TX 75707 Phone: 903-566-4449 | |
Frank P Reuter Jr Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 712 S Bois D Arc Ave, Tyler, TX 75701 Phone: 903-597-5579 Fax: 903-597-5722 | |
David W Ball Md Internal Medicine Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5407 New Copeland Rd Ste 200, Tyler, TX 75703 Phone: 903-330-2081 Fax: 903-630-9309 | |
Integrity Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5605 Old Bullard Rd Ste B, Tyler, TX 75703 Phone: 903-630-5595 Fax: 903-630-5599 | |
Clinica Hispana Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 510 S Southwest Loop 323 Ste 140, Tyler, TX 75702 Phone: 903-530-0240 | |
Bwbl Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6770 Old Jacksonville Hwy Ste 101, Tyler, TX 75703 Phone: 903-352-3250 Fax: 903-221-9183 |