Renewed Health Clinic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

RENEWED HEALTH CLINIC PLLC

Practice address

1318 S Jefferson Ave
Mt Pleasant, TX 75455-5355

Phone

(903) 572-1128

Fax

(903) 572-1138

NPI assigned

Jul 15, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Courtney M Durrum, DCNPI 1609099555

Title

Owner

Phone

(903) 572-1128

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Courtney M. Durrum, DC

  • Radiology Chiropractor
  • Mt Pleasant, TX
  • NPI 1609099555
  Medicare reassignment NPD Authorized official
• Ryan Allen, DC, LAT, ATC

  • Chiropractor
  • Port Arthur, TX
  • NPI 1558871491
  Medicare reassignment NPD
• Shane Allen, DC

  • Chiropractor
  • Lindale, TX
  • NPI 1679675870
  Medicare reassignment NPD
• Nu Phuong Thi Ho, DC

  • Chiropractor
  • Garland, TX
  • NPI 1154184158
  Medicare reassignment NPD
• Virginia Marie Missildine, FNP

  • Family Nurse Practitioner
  • Texarkana, TX
  • NPI 1982069316
  Medicare reassignment NPD
• Scott Holland, MD

  • Pediatrics Physician
  • Pittsburg, TX
  • NPI 1356431936
  NPD

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1205408564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 S JEFFERSON AVE",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754555355",
            "telephone_number": "903-572-1128",
            "fax_number": "903-572-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 S JEFFERSON AVE",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754555355",
            "telephone_number": "903-572-1128",
            "fax_number": "903-572-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED HEALTH CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "DURRUM",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-572-1128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Redfearn, ATP
• Eric D Reed, D.O.
• Region 8 Education Service Center
• Rehabme Mpleasant LLC
• Renal Care Group Texas, Inc.
• Restorative Joint & Wellness Center
• Restore Health, PLLC
• Antonio P Reyes, M.D.
• Reynaldo D Sarmiento MD PA
• Dana Lynn Rice, M.D.

• Chiropractor in Mt Pleasant, TX
• Providers in Mt Pleasant, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.