RENOVA MEDICAL – NPI #1396376752
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Health Care Provider Taxonomy Code for Clinic/Center

RENOVA MEDICAL is an AHC clinic located in HOUSTON, TX. NPPES has assigned the NPI number 1396376752 to RENOVA MEDICAL on February 03, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 4 years ago on Mar 19, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RENOVA MEDICAL below.

NPI Profile for
RENOVA MEDICAL

NPI Number
1396376752
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RENOVA MEDICAL
Primary location
3726 DACOMA ST STE 250
HOUSTON, TX 77092-8906
Phone: (346) 704-3126 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BACK OFFICE
PERSONNEL
Phone: (346) 704-3126
Updated
Certification Date
Mar 19, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.