RENAISSANCE HEALTH AND WELLNESS OF TEXAS, P.A. (NPI# 1881082238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881082238 |
| Entity Type | Organization |
| Organization Name | RENAISSANCE HEALTH AND WELLNESS OF TEXAS, P.A. |
| Practice Address |
17721 Dallas Pkwy Suite 116 Dallas TX 75287-7343 |
| Practice Telephone | 2143784700 |
| Mailing Telephone | 2143784700 |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2015-01-07 |
| Authorized Official Name | CHESTER L CARLSON (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4794344948 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Q2522 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
17721 DALLAS PKWY SUITE 116 |
| City | DALLAS |
| State | TX |
| Zip Code | 75287-7343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316139751 | Donna K Haas Od PC | Optometrist | 17721 Dallas Pkwy, Suite 118, Dallas, TX 75287-7343 | 2007-08-09 |
| 1386190932 | Vibrant Dental Care, Pllc | Dentist | 17721 Dallas Pkwy, 106, Dallas, TX 75287-7343 | 2016-09-01 |
| 1164807798 | Mary Lindsey Conley | Nurse Practitioner | 17721 Dallas Pkwy, Suite 116, Dallas, TX 75287-7343 | 2015-07-24 |
| 1508129537 | Diem Hong Nguyen | Dentist | 17721 Dallas Pkwy, 106, Dallas, TX 75287-7343 | 2012-06-25 |
| 1114202959 | Simple Sleep Services | Sleep Specialist, PhD | 17721 Dallas Pkwy, 116, Dallas, TX 75287-7343 | 2011-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356846307 | Personal Health Assessment | Internal Medicine | 18320 Michael Angelo Drive, Dallas, TX 75287 | 2018-03-29 |
| 1275051807 | Vermelle Minor | Prosthetist | 4341 Horizon Pkwy 132, Dallas, TX 75287 | 2017-09-04 |
| 1831629625 | Tumikee Perry | Counselor | 2903 Renaissance Circle, Dallas, TX 75287 | 2017-06-14 |
| 1326594177 | Sweta Sheth Dds | Dentist | 18217 Midway Road #122, Dallas, TX 75287 | 2016-08-31 |
| 1003288259 | Hamid Reza Pirnajmedin | Specialist/Technologist, Other | 4808 Haverwood Ln Apt 1236, Dallas, TX 75287 | 2015-10-28 |
| 1013307313 | Kaelee Rae Kail | Occupational Therapist | 17480 Dallas Pkwy # 400, Dallas, TX 75287 | 2015-01-26 |
| 1568875318 | Nicole Carvacho | Physical Therapist | 17480 North Dallas Tollway, Addison, TX 75287 | 2014-06-10 |
| 1326451873 | Holly Davis | Speech-Language Pathologist | 17480 North Dallas Parkway, Suite 221, Dallas, TX 75287 | 2014-06-03 |
| 1033520077 | Tammy Duran | Non-emergency Medical Transport (VAN) | 3653 Briargrove Lane, 1513, Dallas, TX 75287 | 2014-05-13 |
| 1518393206 | Cole Wellness Center | Home Health | 4820 Sea Pine, Dallas, TX 75287 | 2013-09-25 |
| Find all providers in zip 75287 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1659978401 | Instaclinic, LLC | General Practice | 7008 Quartermile Ln, Dallas, TX 75248-1448 | 2020-10-05 |
| 1194345959 | Medplus Physician Group Inc. | General Practice | 8585 N Stemmons Fwy Ste S-105, Dallas, TX 75247-3836 | 2020-04-22 |
| 1598397937 | Jennifer Renee Palomares | General Practice | 12221 Merit Dr Ste 350, Dallas, TX 75251-3233 | 2020-02-04 |
| 1902449333 | Strategic Binary Solutions LLC | General Practice | 13030 Audelia Rd, 2190, Dallas, TX 75243-2471 | 2019-10-17 |
| 1922542075 | Liferestore Md Usa LLC | General Practice | 3910 Gaston Ave Ste 140, Dallas, TX 75246-1523 | 2016-12-08 |
| 1275996860 | Doorstep Procare Management LLC | General Practice | 12035 Shiloh Rd Ste 310, Dallas, TX 75228-1507 | 2016-03-31 |
| 1023490661 | Adjust Physical Medicine Pllc | General Practice | 13450 Inwood Rd Ste 100, Dallas, TX 75244-5324 | 2015-06-19 |
| 1679983480 | Nathaniel Ott | General Practice | 810 Turner Ave, Dallas, TX 75208-3737 | 2014-05-01 |
| 1720427057 | Merritt Bonar Teddlie | General Practice | 7830 Meadow Park Dr, 108, Dallas, TX 75230-4942 | 2013-06-20 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.