Organization
RENOVA MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BACK OFFICE (PERSONNEL)
(346) 704-3126
Entity
Organization
Contact information
Practice address
3726 DACOMA ST STE 250, HOUSTON, TX 77092-8906
(346) 704-3126
Mailing address
3726 DACOMA ST STE 250, HOUSTON, TX 77092-8906
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/03/2020
Last updated
03/19/2022
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