| NPI | 1952801128 |
|---|---|
| Doing Business As | RENEW HYDRATION |
| Entity Type | Organization |
| Authorized Contact | ROBERT GONZALEZ CEO 214-837-8893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X |
| Additional Taxonomies | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2018-02-14 |