# PERFORMANCE SPORTS MEDICINE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275838518
- **Authorized official:** SHERINE E. RENO M.D. (OWNER)
- **Authorized official phone:** (214) 342-0400

## Contact information

- **Practice address:** 13601 PRESTON RD, STE. E525, DALLAS, TX 75240-4911
- **Practice address phone:** (214) 342-0400
- **Practice address fax:** (214) 342-0406
- **Mailing address:** P.O BOX 863268, PLANO, TX 75086
- **Mailing address phone:** (214) 342-0400
- **Mailing address fax:** (214) 342-0406

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/18/2011
- **Last updated:** 01/18/2011
