| Renuevate Pa | |
|
119 Retama Street Suite C Elsa TX 78543 | |
| (956) 567-2236 | |
| (956) 567-2013 |
| Full Name | Renuevate Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 119 Retama Street, Elsa, Texas |
| Authorized Official Name and Position | Eduardo Carrillo (CEO) |
| Authorized Official Contact | 9565672236 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renuevate Pa 119 Retama Street Suite C Elsa TX 78543 Ph: (956) 567-2236 | Renuevate Pa 119 Retama Street Suite C Elsa TX 78543 Ph: (956) 567-2236 |
| NPI Number | 1487900718 |
|---|---|
| Provider Enumeration Date | 07/24/2012 |
| Last Update Date | 02/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487900718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L2172 (Texas) | Primary |
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