Individual
RENJI JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3016 S SHILOH RD, GARLAND, TX 75041-2415
(214) 227-4353
(214) 227-4356
Mailing address
922 MYERS MEADOW DR, GARLAND, TX 75043-3711
(214) 227-4353
(214) 227-4356
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0073430
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166790901
—
TX
05
—
166790902
—
TX
Enumeration date
11/09/2006
Last updated
05/31/2022
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