Renaissance Health and Wellness of Texas, P.a.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

Q2522 Issued in TX

Legal business name

RENAISSANCE HEALTH AND WELLNESS OF TEXAS, P.A.

Practice address

17721 Dallas Pkwy
Suite 116
Dallas, TX 75287-7343

Phone

(214) 378-4700

NPI assigned

Jan 7, 2015

Organization subpart

No

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

Authorized official

Name

Chester L Carlson, D.O.

Title

Medical Director

Phone

(479) 434-4948

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1881082238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17721 DALLAS PKWY",
            "address_2": "SUITE 116",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752877343",
            "telephone_number": "214-378-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17721 DALLAS PKWY",
            "address_2": "SUITE 116",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752877343",
            "telephone_number": "214-378-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE HEALTH AND WELLNESS OF TEXAS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "CHESTER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "479-434-4948",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "Q2522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Ren
• Yanhong Ren, L.AC.
• Renaissance Assisted Living, L.L.C
• Renaissance Clinical Research
• Renaissance Clinical Research & Hypertension Clinic of Texas PLLC
• Renaissance Hospital Dallas
• Renaissance Hospital Dallas
• Renal Center of North Dallas, LLC
• Renal Treatment Centers Southeast LP
• Renal Treatment Centers Southeast LP

• General Practice Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.