Organization Active NPI

Renew Rehab LLC

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1952114332
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RENEW REHAB LLC
Practice address
2351 W Northwest Hwy Ste 3105
Dallas, TX 75220-4453
Phone
(972) 391-8903
Fax
(972) 391-8903
NPI assigned
Jan 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Authorized official

Name
Ms. Becky Valdez
Title
Owner
Phone
(972) 391-8903

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2351 W Northwest Hwy Ste 3105
Dallas, TX 75220-4453

Mailing address

1325 Edgewood CT
Carrollton, TX 75007-2766
Phone (972) 989-6396

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1952114332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 EDGEWOOD CT",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750072766",
            "telephone_number": "972-989-6396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 W NORTHWEST HWY STE 3105",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752204453",
            "telephone_number": "972-391-8903",
            "fax_number": "972-391-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "VALDEZ",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-391-8903",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.