Renpro Texas LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

RENPRO TEXAS LLC

Practice address

2408 E Trinity Mills Rd
Carrollton, TX 75006-1944

Phone

(847) 443-2000

NPI assigned

Dec 17, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brian Kelsey

Title

Director of Operations

Phone

(765) 418-7403

Specialties & licenses 1

Addresses

Other names 1

• Kelsey Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639699200000",
    "number": "1073272001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7444 W WILSON AVE",
            "city": "HARWOOD HEIGHTS",
            "state": "IL",
            "postal_code": "607064500",
            "telephone_number": "847-443-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 E TRINITY MILLS RD",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750061944",
            "telephone_number": "847-443-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENPRO TEXAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-17",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A",
        "authorized_official_last_name": "KELSEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "765-418-7403"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kelsey",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic/Center in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.