Provider Demographics
NPI:1780115113
Name:RENEWED HEALTH LLC
Entity type:Organization
Organization Name:RENEWED HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DAOM
Authorized Official - Phone:512-341-9900
Mailing Address - Street 1:894 SUMMIT ST STE 109
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-4370
Mailing Address - Country:US
Mailing Address - Phone:512-341-9900
Mailing Address - Fax:512-341-9904
Practice Address - Street 1:894 SUMMIT ST STE 109
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-4370
Practice Address - Country:US
Practice Address - Phone:512-341-9900
Practice Address - Fax:512-341-9904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-27
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC01090171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty