# RENAISSANCE PROVIDER RESOURCE MGMT, LLC

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

## Provider details

- **NPI number:** 1598172132
- **Authorized official:** SANDRA J BITNER (ADMINISTRATOR)
- **Authorized official phone:** (956) 682-6900

## Contact information

- **Practice address:** 512 VICTORIA LN STE 14, HARLINGEN, TX 78550-3235
- **Practice address phone:** (956) 230-2809
- **Practice address fax:** (956) 230-2831
- **Mailing address:** 512 VICTORIA LN STE 14, HARLINGEN, TX 78550-3235
- **Mailing address phone:** (956) 230-2809
- **Mailing address fax:** (956) 230-2831

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 1173849 | TX | Yes |
| 225X00000X | Occupational Therapist | 112849 | TX | — |
| 235Z00000X | Speech-Language Pathologist | 13266 | TX | — |

## Other

- **Enumeration date:** 07/15/2014
- **Last updated:** 07/16/2014