Individual
DR. THOMAS WILSON RENFROE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
2010 SYBIL LN, TYLER, TX 75703-1818
(903) 596-8118
(903) 596-8125
Mailing address
2010 SYBIL LN, TYLER, TX 75703-1818
(903) 596-8118
(903) 596-8125
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
24047
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033724801
—
TX
01
—
86292A
BCBS
TX
Enumeration date
08/04/2006
Last updated
07/08/2007
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