NPI Registry.org

Renovar Wellcare Pllc

NPI Registration Record

Provider / OrganizationNPIDate Certified
RENOVAR WELLCARE PLLC10134074512021-10-10

The organization Renovar Wellcare Pllc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1013407451. Registration indicates Renovar Wellcare Pllc is a provider of services with a specialization in Ambulatory Health Care Facilities, Clinic/Center (Clinic/Center: Primary Care, ) (Primary Care/Family Planning/APRN/PA, ) (Clinic/Center Primary Care, Ambulatory Health Care Facilities) (Clinic/Center, )

Other Names:
Entity TypeOrganization
Provider OrganizationRENOVAR WELLCARE PLLC
Other Provider OrganizationESSENCIA FAMILY PRACTICE AND IMMEDIA
Practice Office Address4217 MARSH RIDGE RD STE 100
CARROLLTON, TX US
Practice Office Telephone2407130997
Mailing Address4312 RIDGE POINT LN
PLANO, TX 750247035 US
Business Telephone9723060016
Authorized OfficialOLUSESAN OLUSEUN OLOTU, DIRECTOR
9723060016
HPT Codes
CodePractice
License No
State
261QP2300X PRIMARY
Ambulatory Health Care Facilities
Clinic/Center
Clinic/Center: Primary Care

Primary Care/Family Planning/APRN/PA

Clinic/Center Primary Care
Ambulatory Health Care Facilities
Clinic/Center
OPI Codes
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