Renuevate PA

NPI #1487900718 in Elsa, Texas

Provider Information

NPI Number: 1487900718
Entity Type: Organization
Organization Name: Renuevate PA
Primary Specialty: Family Medicine
Enumeration Date: Jul 24, 2012
Last Updated: Feb 14, 2014

Practice Location

Address: 119 RETAMA STREET
Address 2: SUITE C
City: Elsa
State: Texas
ZIP Code: 78543
Phone: (956) 567-2236

Authorized Official

Name: DR. EDUARDO CARRILLO, M.D.
Title: CEO
Phone: (956) 567-2236

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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