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Organization

RENEW HEALTH CENTERS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JUSTIN L HAGAN (MANAGER)
(210) 500-6449
Entity
Organization

Contact information

Practice address
88 BRIGGS ST STE 120, SAN ANTONIO, TX 78224-1297
(210) 500-6449
Mailing address
88 BRIGGS ST STE 120, SAN ANTONIO, TX 78224-1297

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
183500000X
Pharmacist
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
208000000X
Pediatrics Physician
2084P0800X
Psychiatry Physician
251B00000X
Case Management Agency
261Q00000X
Clinic/Center
261QM1300X
Multi-Specialty Clinic/Center
Primary
3336C0002X
Clinic Pharmacy

Other

Enumeration date
07/14/2025
Last updated
12/21/2025
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