| Renew Wellness Services Pllc | |
|
3939 Texas Blvd Texarkana TX 75503-3207 | |
| (903) 255-6398 | |
| (903) 794-6305 |
| Full Name | Renew Wellness Services Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3939 Texas Blvd, Texarkana, Texas |
| Authorized Official Name and Position | Theresa M Fontenot (PROVIDER) |
| Authorized Official Contact | 9032556398 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renew Wellness Services Pllc 3939 Texas Blvd Texarkana TX 75503-3207 Ph: (903) 255-6398 | Renew Wellness Services Pllc 3939 Texas Blvd Texarkana TX 75503-3207 Ph: (903) 255-6398 |
| NPI Number | 1710246541 |
|---|---|
| Provider Enumeration Date | 05/14/2012 |
| Last Update Date | 05/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710246541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | PA00982 (Texas) | Primary |
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Nathan J Wright Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2014 Galleria Oaks Dr, Texarkana, TX 75503 Phone: 903-792-2991 Fax: 903-793-7996 | |
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