DIABETIC RENEWAL CENTER LLC

TYLER, TX
NPI1750764189
Former Legal Business NameTRINA HEALTH CARE CENTER OF TYLER LLC
Entity TypeOrganization
Authorized ContactJEFF E DETHLEFSEN
Owner
903-258-6000
Organization Subpart ?No
Primary Taxonomy261QI0500X Clinic/Center, Infusion Therapy
(Licence: TX  261Q10500X)
Additional Taxonomies207Q00000X Family Medicine
207Q00000X Family Medicine
(Licence: TX  F3205)
207R00000X Internal Medicine
Enumeration Date2015-07-02
Last Update Date2022-07-21
Business Address
DIABETIC RENEWAL CENTER LLC
1015 PRUITT PL STE 105
TYLER, TX 75703-1154
Phone number: 903-528-6000
Mailing Address
DIABETIC RENEWAL CENTER LLC
1015 PRUITT PL STE 105
TYLER, TX 75703-1154
Phone number: 903-258-6000