Organization
WILSON RENFROE, PSYD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS WILSON RENFROE PSYD (OWNER)
(903) 630-7091
Entity
Organization
Contact information
Practice address
4801 TROUP HWY, SUITE 502, TYLER, TX 75703-2356
(903) 630-7091
Mailing address
4801 TROUP HWY, SUITE 502, TYLER, TX 75703-2356
(903) 630-7091
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
24047
TX
Other
Enumeration date
11/08/2014
Last updated
11/23/2015
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