NPI Registry.org

Renovar Wellcare Pllc

NPI Registration Record

Provider / OrganizationNPIDate Certified
RENOVAR WELLCARE PLLC10134074512018-05-10

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 Address1509 W HEBRON PKWY STE 140
CARROLLTON, TX US
Practice Office Telephone9723060016
Practice Office Fax9723060017
Mailing Address8533 ROYAL COUNTY DOWN DR
MCKINNEY, TX 750701680 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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