Organization
RENEW ORTHOPEDIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER MIARS DO (OWNER)
(254) 309-2244
Entity
Organization
Contact information
Practice address
105 OLD HEWITT RD STE 300, WACO, TX 76712-6565
(254) 309-2288
Mailing address
105 OLD HEWITT RD STE 300, WACO, TX 76712-6565
(254) 309-2288
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
11/23/2024
Last updated
11/23/2024
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