Renew Wellness Services PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

PA00982 Issued in TX

Legal business name

RENEW WELLNESS SERVICES PLLC

Practice address

3939 Texas Blvd
Texarkana, TX 75503-3207

Phone

(903) 255-6398

Fax

(903) 794-6305

NPI assigned

May 14, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Theresa M Fontenot, PA-C

Title

Provider

Phone

(903) 255-6398

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robyn Renee Williams, NP

  • Nurse Practitioner
  • Texarkana, TX
  • NPI 1740529155
  NPD

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1710246541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 TEXAS BLVD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755033207",
            "telephone_number": "903-255-6398",
            "fax_number": "903-794-6305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 TEXAS BLVD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755033207",
            "telephone_number": "903-255-6398",
            "fax_number": "903-794-6305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW WELLNESS SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-14",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "FONTENOT",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "903-255-6398",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "PA00982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilmer Lynn Reep, MD
• Austin Reeves, D P M
• Reliant Medical LLC
• Remnant of Hope Ministries
• Renew Medical Spa LLC
• Respiratory Plus Inc
• Retreat Health Care Services Inc.
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• Marion Arleen Reynolds, M.D.
• Spencer Timothy Reynolds, MD

• Primary Care Clinic/Center in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.