Organization
RENEW HEALTH KETAMINE AND IV INFUSION THERAPY PLLC.
Active
Other names
Renew Health Ketamine and IV Infusion Therapy PLLC.
Organization subpart
No
Provider details
NPI number
Authorized official
SORIN MUNTEANU CRNA (OWNER)
(337) 508-9135
Entity
Organization
Contact information
Practice address
333 E BETHANY DR STE J100, ALLEN, TX 75002-3827
(337) 508-9135
Mailing address
333 E BETHANY DR STE J100, ALLEN, TX 75002-3827
(337) 508-9135
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
261Q00000X
Clinic/Center
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
05/02/2023
Last updated
05/24/2023
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