| Renew Health Center | |
|
7434 Louis Pasteur Dr Ste 209 San Antonio TX 78229-4540 | |
| (210) 761-9001 | |
| (210) 783-1139 |
| Full Name | Renew Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 7434 Louis Pasteur Dr Ste 209, San Antonio, Texas |
| Authorized Official Name and Position | Justin L Hagan (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 2107421199 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renew Health Center 7434 Louis Pasteur Dr Ste 209 San Antonio TX 78229-4587 Ph: (210) 761-9001 | Renew Health Center 7434 Louis Pasteur Dr Ste 209 San Antonio TX 78229-4540 Ph: (210) 761-9001 |
| NPI Number | 1588355077 |
|---|---|
| Provider Enumeration Date | 05/16/2023 |
| Last Update Date | 10/10/2024 |
| Medicare PECOS PAC ID | 1850748385 |
|---|---|
| Medicare Enrollment ID | O20231106001378 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588355077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Victor Labrado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629629803 PECOS PAC ID: 1557693330 Enrollment ID: I20191028002410 |
| Provider Name | Lydia Giron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912558305 PECOS PAC ID: 8527433796 Enrollment ID: I20230406000020 |
| Provider Name | Priscilla Renee Salinas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104591668 PECOS PAC ID: 9133588569 Enrollment ID: I20230703002602 |
| Provider Name | Lori Vanacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629670906 PECOS PAC ID: 3072922905 Enrollment ID: I20240108000198 |
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