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Organization
RENAISSANCE PROVIDER RESOURCE MGMT, LLC
Active
Organization
RENAISSANCE PROVIDER RESOURCE MGMT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA J BITNER (ADMINISTRATOR)
(956) 682-6900
Entity
Organization
Contact information
Practice address
512 VICTORIA LN STE 14, HARLINGEN, TX 78550-3235
(956) 230-2809
(956) 230-2831
Mailing address
512 VICTORIA LN STE 14, HARLINGEN, TX 78550-3235
(956) 230-2809
(956) 230-2831
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1173849
TX
225X00000X
Occupational Therapist
112849
TX
235Z00000X
Speech-Language Pathologist
13266
TX
Other
Enumeration date
07/15/2014
Last updated
07/16/2014
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