Renew Health Ketamine and IV Infusion Therapy PLLC.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

RENEW HEALTH KETAMINE AND IV INFUSION THERAPY PLLC.

Doing business as

Renew Health Ketamine and IV Infusion Therapy PLLC.

Practice address

333 E Bethany Dr Ste J100
Allen, TX 75002-3827

Phone

(337) 508-9135

NPI assigned

May 2, 2023

Organization subpart

No

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

Authorized official

Name

Sorin Munteanu, CRNA

Title

Owner

Phone

(337) 508-9135

Specialties & licenses 5

Addresses

Other names 1

• Renew Health Ketamine and IV Infusion Therapy PLLC. Doing business as

Locations

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

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1336838861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E BETHANY DR STE J100",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750023827",
            "telephone_number": "337-508-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E BETHANY DR STE J100",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750023827",
            "telephone_number": "337-508-9135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW HEALTH KETAMINE AND IV INFUSION THERAPY PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "MUNTEANU",
        "authorized_official_first_name": "SORIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-508-9135",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renew Health Ketamine and IV Infusion Therapy PLLC.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Renew Health Ketamine and IV Infusion Therapy PLLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Allen, TX
• Providers in Allen, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.