1164739025 RENEW MEDICAL SPA LLC

Medical Specialty Clinic/Center

Active

Basic Information

Organization Name
RENEW MEDICAL SPA LLC
Enumeration Date
September 13, 2010
Last Update
February 6, 2012
Authorized Official
MRS. THERESA M FONTENOT PA-C
OWNER
Phone: (903) 255-6398

Practice Location

Address
3939 TEXAS BLVD
TEXARKANA, TX 755033207
Phone
(903) 255-6398
Fax
(903) 794-6304

Mailing Address

Address
3939 TEXAS BLVD
TEXARKANA, TX 755033207
Phone
(903) 255-6398
Fax
(903) 794-6304

Specialties & Taxonomies

Specialty Code Classification License State Primary
Medical Specialty Clinic/Center
Medical Specialty
261QM2500X Clinic/Center PA-190 AR No
Medical Specialty Clinic/Center
Medical Specialty
261QM2500X Clinic/Center PA00892 TX Primary

Other Identifiers

Identifier Type State Issuer
4995690001 01 TX CIGNA GOVERMENT SERVICES

Frequently Asked Questions

What is RENEW MEDICAL SPA LLC's NPI number?
RENEW MEDICAL SPA LLC's NPI number is 1164739025.
Which doctor has NPI number 1164739025?
The doctor with NPI number 1164739025 is RENEW MEDICAL SPA LLC.
What is RENEW MEDICAL SPA LLC's practice address?
RENEW MEDICAL SPA LLC's practice address is 3939 TEXAS BLVD, TEXARKANA, TX, 755033207.
Which doctor practices at 3939 TEXAS BLVD, TEXARKANA, TX, 755033207?
RENEW MEDICAL SPA LLC practices at 3939 TEXAS BLVD, TEXARKANA, TX, 755033207.
What is RENEW MEDICAL SPA LLC's phone number?
RENEW MEDICAL SPA LLC's phone number is (903) 255-6398.
Who is (903) 255-6398?
(903) 255-6398 is the phone number for RENEW MEDICAL SPA LLC.
What is RENEW MEDICAL SPA LLC's specialty?
RENEW MEDICAL SPA LLC's specialty is Medical Specialty Clinic/Center.
What type of doctor is RENEW MEDICAL SPA LLC?
RENEW MEDICAL SPA LLC is a Medical Specialty Clinic/Center.
Is RENEW MEDICAL SPA LLC a Medical Specialty?
Yes, RENEW MEDICAL SPA LLC is a Medical Specialty.
Is RENEW MEDICAL SPA LLC still practicing?
Yes, RENEW MEDICAL SPA LLC is currently practicing.
Is RENEW MEDICAL SPA LLC accepting new patients?
RENEW MEDICAL SPA LLC may be accepting new patients. Please call their office at (903) 255-6398 to inquire about availability.
Is NPI 1164739025 still active?
Yes, NPI 1164739025 is currently active.
Where does RENEW MEDICAL SPA LLC practice?
RENEW MEDICAL SPA LLC practices in TEXARKANA, TX.