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NPI 1477407534

NPI 1477407534 : RENAISSANCE MANAGEMENT GROUP OF TEXAS : BRYAN, TX

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General NPI Number Information
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    NPI Number           |    1477407534
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    Entity Type          |    Organization 
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    Legal Business Name  |    RENAISSANCE MANAGEMENT GROUP OF TEXAS 
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Dates
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    Enumeration Date     |    02/25/2026
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    Last Update Date     |    02/25/2026
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Provider Practice Location Address
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    Address Line         |    300 W 24TH ST 
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    City                 |    BRYAN
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    State                |    TX
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    Zip                  |    77803-3218
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    Country              |    US
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    Telephone            |    979-595-8358
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    Fax                  |    979-216-9619
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Provider Business Mailing Address
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    Address Line         |    5095 COUNTY ROAD 378 
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    City                 |    CALDWELL
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    State                |    TX
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    Zip                  |    77836-6750
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    Country              |    US
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    Telephone            |    979-595-8358
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    Fax                  |    979-216-9619
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR/OWNER
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    Name                 |     GARY  JETER 
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    Credential           |    JETER
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    Telephone            |    979-595-8358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    253J00000X
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    Taxonomy Name        |    Foster Care Agency
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    License Number       |    
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    License Number State |    
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