Renewed Minds LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

03209 Issued in TX

Legal business name

RENEWED MINDS LLC

Practice address

15210 Highway 3
Suite 105
Webster, TX 77598-6716

Phone

(281) 827-9674

NPI assigned

Feb 10, 2015

Organization subpart

No

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

Authorized official

Name

Gary Holman

Title

Owner

Phone

(281) 827-9674

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1326439514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15210 HIGHWAY 3",
            "address_2": "SUITE 105",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775986716",
            "telephone_number": "281-827-9674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15210 HIGHWAY 3",
            "address_2": "SUITE 105",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775986716",
            "telephone_number": "281-827-9674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED MINDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "HOLMAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-827-9674"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "03209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grant Patrick Redrow, M.D.
• William Alvin Reese III, CRNA
• Christelle Reeves
• Oanh Nguyen Reeves, APRN
• Gabriel Regino II, FNP
• Renewed Purpose LLC
• Danielle Repsher, APRN, FNP-C
• Lilia Coral Requena, NP
• Return to Wellness
• Jacy L Retz, MD

• General Practice Physician in Webster, TX
• Providers in Webster, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.