Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
RENEW WEIGHT LOSS MARKETING LLC
Active
Organization
RENEW WEIGHT LOSS MARKETING LLC
Active
Other names
Renew DFW
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW THOMAS LITTLE (MANAGER)
(936) 577-4606
Entity
Organization
Contact information
Practice address
6344 CAMP BOWIE BLVD, FORT WORTH, TX 76116-5408
(817) 409-6265
Mailing address
6344 CAMP BOWIE BLVD, FORT WORTH, TX 76116-5408
(817) 409-6265
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174117683
FAMILY PRACTICE
TX
Enumeration date
01/30/2022
Last updated
01/30/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers