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1487900718
RENUEVATE PA
ELSA, TX
NPI
1487900718
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Entity Type
Organization
Authorized Contact
EDUARDO CARRILLO
CEO
956-567-2236
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX L2172)
Enumeration Date
2012-07-24
Last Update Date
2014-02-14
Business Address
RENUEVATE PA
119 RETAMA STREET SUITE C
ELSA, TX 78543
Phone number: 956-567-2236
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Mailing Address
RENUEVATE PA
119 RETAMA STREET SUITE C
ELSA, TX 78543
Phone number: 956-567-2236
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