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NPI Code Detail

MEDICARE: RENEW SLEEP CENTER

MEDICARE: RENEW SLEEP CENTER
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
1261QS1200XSleep Disorder Diagnostic Clinic/Center

General Provider Information

NPI Number : 1780992651
Entity Type Code : Organization
Provider Name (Legal Business Name) : RENEW SLEEP CENTER
Provider Business Mailing Address
First Line : 3829 SARATOGA BLVD
Second Line : SUITE B
City : CORPUS CHRISTI
State : TX
Zip : 78415-5814
Country : US
Telephone Number : 361-851-0844
Fax Number : 361-851-0845
Provider Business Practice Location Address
First Line : 3829 SARATOGA BLVD
Second Line : SUITE B
City : CORPUS CHRISTI
State : TX
Zip : 78415-5814
Country : US
Telephone Number : 361-851-0844
Fax Number : 361-851-0845
Authorized Official
Title or Position : OFFICE MANAGER
Name : TINA GARCIA
Credential :
Telephone Number : 361-906-2121
Provider Enumeration Date : 09/14/2010
Last Update Date : 09/14/2010

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Directions to “RENEW SLEEP CENTER ” Practice Location

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