Organization Active NPI

Renew Life Rejuvenation of the Woodlands, PLLC

Doing business as Renew Life Rejuvenation of Creekside, PLLC

  • Interventional Pain Medicine Physician
  • Friendswood, TX
National Provider Identifier
1346815206
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
RENEW LIFE REJUVENATION OF THE WOODLANDS, PLLC
Doing business as
Renew Life Rejuvenation of Creekside, PLLC
Practice address
3756 E FM 528 Rd
Friendswood, TX 77546-5041
Phone
(281) 993-2225
Fax
(281) 292-6388
NPI assigned
May 24, 2021
Organization subpart
Yes
Parent organization
RENEW LIFE REJUVENATION OF THE WOODLANDS, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Authorized official

Name
Christopher Zaino, DC
Title
Partner/Educator
Phone
(281) 651-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

3756 E FM 528 Rd
Friendswood, TX 77546-5041

Mailing address

3000 Research Forest Dr Ste 150
Spring, TX 77381-4395
Phone (281) 651-2020

Other names 1

  • Renew Life Rejuvenation of Creekside, PLLC Doing business as

National Provider Directory

National Provider Directory
Part of
Renew Life Rejuvenation of the Woodlands PLLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1346815206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 RESEARCH FOREST DR STE 150",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773814395",
            "telephone_number": "281-651-2020",
            "fax_number": "281-292-6388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3756 E FM 528 RD",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775465041",
            "telephone_number": "281-993-2225",
            "fax_number": "281-292-6388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW LIFE REJUVENATION OF THE WOODLANDS, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RENEW LIFE REJUVENATION OF THE WOODLANDS, PLLC",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "ZAINO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PARTNER/EDUCATOR",
        "authorized_official_telephone_number": "281-651-2020",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renew Life Rejuvenation of Creekside, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Friendswood, TX

Sources for this page

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