| Renaissance Outpatient Rehabilitation Center, Llc | |
|
2010 E Griffin Pkwy, Mission, TX 78572-3223 | |
| (956) 583-2600 | |
| (956) 583-8580 |
| Full Name | Renaissance Outpatient Rehabilitation Center, Llc |
|---|---|
| Type | Facility |
| Speciality | Audiologist |
| Location | 2010 E Griffin Pkwy, Mission, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164688925 | NPI | - | NPPES |
| 103816 | Other | TX | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 103816 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Renaissance Outpatient Rehabilitation Center, Llc 2010 E Griffin Pkwy, Mission, TX 78572-3223 Ph: (956) 583-2600 | Renaissance Outpatient Rehabilitation Center, Llc 2010 E Griffin Pkwy, Mission, TX 78572-3223 Ph: (956) 583-2600 |
Dr. Danielle Lopez, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1914 E Griffin Pkwy, Mission, TX 78572 Phone: 956-580-3277 | |
Moonflower Group Llc Audiologist Medicare: Medicare Enrolled Practice Location: 1914 E Griffin Pkwy, Mission, TX 78572 Phone: 956-580-3277 Fax: 956-580-3279 |