MEDICARE: RENB LOGISTICS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1487430930
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RENB LOGISTICS, LLC

Provider Business Mailing Address
First Line	:	9012 ENCHANTED RIDGE DR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75025-4446
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9012 ENCHANTED RIDGE DR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75025-4446
Country	:	US
Telephone Number	:	945-800-7382
Fax Number	:	469-754-0413

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	PAMELA BROWN
Credential	:
Telephone Number	:	469-975-2048

Provider Enumeration Date	:	08/31/2023
Last Update Date	:	08/31/2023

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Directions to “RENB LOGISTICS, LLC ” Practice Location

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