1750764189 DIABETIC RENEWAL CENTER LLC

Infusion Therapy Clinic/Center

Active

Basic Information

Organization Name
DIABETIC RENEWAL CENTER LLC
Enumeration Date
July 2, 2015
Last Update
July 21, 2022
Authorized Official
JEFF E DETHLEFSEN
OWNER
Phone: (903) 258-6000

Practice Location

Address
1015 PRUITT PL STE 105
TYLER, TX 757031154
Phone
(903) 528-6000
Fax
(903) 526-0565

Mailing Address

Address
1015 PRUITT PL STE 105
TYLER, TX 757031154
Phone
(903) 258-6000
Fax
(903) 526-0565

Specialties & Taxonomies

Specialty Code Classification License State Primary
Family Medicine Physician
 207Q00000X Family Medicine N/A N/A No
Family Medicine Physician
 207Q00000X Family Medicine F3205 TX No
Internal Medicine Physician
 207R00000X Internal Medicine N/A N/A No
Infusion Therapy Clinic/Center
Infusion Therapy
 261QI0500X Clinic/Center 261Q10500X TX Primary

Additional Practice Locations

1108 S Buffalo St
Canton, TX 751032304

Phone: (903) 258-6000

Fax: (903) 526-0565

Frequently Asked Questions

What is DIABETIC RENEWAL CENTER LLC's NPI number?
DIABETIC RENEWAL CENTER LLC's NPI number is 1750764189.
Which doctor has NPI number 1750764189?
The doctor with NPI number 1750764189 is DIABETIC RENEWAL CENTER LLC.
What is DIABETIC RENEWAL CENTER LLC's practice address?
DIABETIC RENEWAL CENTER LLC's practice address is 1015 PRUITT PL STE 105, TYLER, TX, 757031154.
Which doctor practices at 1015 PRUITT PL STE 105, TYLER, TX, 757031154?
DIABETIC RENEWAL CENTER LLC practices at 1015 PRUITT PL STE 105, TYLER, TX, 757031154.
What is DIABETIC RENEWAL CENTER LLC's phone number?
DIABETIC RENEWAL CENTER LLC's phone number is (903) 528-6000.
Who is (903) 528-6000?
(903) 528-6000 is the phone number for DIABETIC RENEWAL CENTER LLC.
What is DIABETIC RENEWAL CENTER LLC's specialty?
DIABETIC RENEWAL CENTER LLC's specialty is Infusion Therapy Clinic/Center.
What type of doctor is DIABETIC RENEWAL CENTER LLC?
DIABETIC RENEWAL CENTER LLC is a Infusion Therapy Clinic/Center.
Is DIABETIC RENEWAL CENTER LLC a Infusion Therapy?
Yes, DIABETIC RENEWAL CENTER LLC is a Infusion Therapy.
Is DIABETIC RENEWAL CENTER LLC still practicing?
Yes, DIABETIC RENEWAL CENTER LLC is currently practicing.
Is DIABETIC RENEWAL CENTER LLC accepting new patients?
DIABETIC RENEWAL CENTER LLC may be accepting new patients. Please call their office at (903) 528-6000 to inquire about availability.
Is NPI 1750764189 still active?
Yes, NPI 1750764189 is currently active.
Where does DIABETIC RENEWAL CENTER LLC practice?
DIABETIC RENEWAL CENTER LLC practices in TYLER, TX.