Organization Active NPI

Renew Clinic LLC

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1477955672
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RENEW CLINIC LLC
Practice address
6060 Bellaire Blvd
Suite a
Houston, TX 77081-5425
Phone
(281) 501-1999
Fax
(281) 501-8543
NPI assigned
Sep 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2014

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

Authorized official

Name
Beatrice Molho
Title
Admin
Phone
(281) 501-1999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X TX Primary

Addresses

Primary practice location

6060 Bellaire Blvd
Suite a
Houston, TX 77081-5425

Mailing address

6060 Bellaire Blvd
Suite a
Houston, TX 77081-5425
Phone (281) 501-1999

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417392000000",
    "number": "1477955672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6060 BELLAIRE BLVD",
            "address_2": "SUITE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770815425",
            "telephone_number": "281-501-1999",
            "fax_number": "281-501-8543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 BELLAIRE BLVD",
            "address_2": "SUITE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770815425",
            "telephone_number": "281-501-1999",
            "fax_number": "281-501-8543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-12-01",
        "status": "A",
        "authorized_official_last_name": "MOLHO",
        "authorized_official_first_name": "BEATRICE",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "281-501-1999"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; 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.