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Organization

RENOVAR WELLCARE PLLC

Active
Other names
Essencia Family Practice and Immediate Care Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. OLUSESAN OLUSEUN OLOTU MD (DIRECTOR)
(972) 306-0016
Entity
Organization

Contact information

Practice address
1509 W HEBRON PKWY STE 140, CARROLLTON, TX 75010-6492
(972) 306-0016
(972) 306-0017
Mailing address
8533 ROYAL COUNTY DOWN DR, MCKINNEY, TX 75070-1680
(972) 306-0016

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
05/10/2018
Last updated
07/10/2022
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