Renova Medical

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

RENOVA MEDICAL

Practice address

3726 Dacoma St Ste 250
Houston, TX 77092-8906

Phone

(346) 704-3126

NPI assigned

Feb 3, 2020

Organization subpart

No

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

Authorized official

Name

Back Office

Title

Personnel

Phone

(346) 704-3126

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647648000000",
    "number": "1396376752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3726 DACOMA ST STE 250",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770928906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3726 DACOMA ST STE 250",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770928906",
            "telephone_number": "346-704-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENOVA MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-03",
        "last_updated": "2022-03-19",
        "certification_date": "2022-03-19",
        "status": "A",
        "authorized_official_last_name": "OFFICE",
        "authorized_official_first_name": "BACK",
        "authorized_official_title_or_position": "PERSONNEL",
        "authorized_official_telephone_number": "346-704-3126"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert A Renner, MD
• Kimberly M Rennie, PHD
• Reem Z. Renno, M.D.
• Nisha Renny, NP
• Renom Medical PLLC
• Edward Robert Rensimer
• Alexia Renteria, PTA
• Angel Adriel Renteria, MD
• Miriam Renteria, M.D.
• Jessica Lynn Rentfrow, APRN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2022; 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.