Provider Demographics
NPI:1700407186
Name:RENEW LIFE REJUVENATION OF THE WOODLANDS, PLLC
Entity Type:Organization
Organization Name:RENEW LIFE REJUVENATION OF THE WOODLANDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAINO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-795-5231
Mailing Address - Street 1:3000 RESEARCH FOREST DR STE 150
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77381-4395
Mailing Address - Country:US
Mailing Address - Phone:281-651-2020
Mailing Address - Fax:281-292-6388
Practice Address - Street 1:3000 RESEARCH FOREST DR STE 150
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77381-4395
Practice Address - Country:US
Practice Address - Phone:281-651-2020
Practice Address - Fax:281-292-6388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-27
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center