Provider Demographics
NPI:1245033992
Name:RENEW REHAB MEDICINE PLLC
Entity type:Organization
Organization Name:RENEW REHAB MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:JIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-226-3376
Mailing Address - Street 1:8313 SOUTHWEST FWY STE 105
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1612
Mailing Address - Country:US
Mailing Address - Phone:832-226-3376
Mailing Address - Fax:409-600-2150
Practice Address - Street 1:8313 SOUTHWEST FWY STE 105
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1612
Practice Address - Country:US
Practice Address - Phone:832-226-3376
Practice Address - Fax:409-600-2150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty