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Organization
RENUEVATE PA
Active
Organization
RENUEVATE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDUARDO CARRILLO M.D. (CEO)
(956) 567-2236
Entity
Organization
Contact information
Practice address
119 RETAMA STREET, SUITE C, ELSA, TX 78543
(956) 567-2236
(956) 567-2013
Mailing address
119 RETAMA STREET, SUITE C, ELSA, TX 78543
(956) 567-2236
(956) 567-2013
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L2172
TX
Other
Enumeration date
07/24/2012
Last updated
02/14/2014
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