NPI age
17 years
Enumerated 2008-07-31
● Active Type 2 · Organization
Renaissance Outpatient Rehabilitation Center, Llc
Renaissance Outpatient Rehabilitation Center, Llc is 1 of 1654 audiologist organizations in Texas.
Primary specialty
Audiologist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Castillo
Speech Language Pathologist
Last NPPES update
2008-07-31
Source: monthly bulk 2026-05
How this organization compares
Across 1654 active audiologist providers in Texas.
NPI age
17 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-07Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
2010 E Griffin Pkwy
Mission, TX 785723223
Mailing address
2010 E Griffin Pkwy
Mission, TX 785723223
Authorized official
Imeda Castillo, MS,CCC-SLP
Speech Language Pathologist
📞 9565862600
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Joe Garcia, APRN Nurse Practitioner NPI 1184205882
Specialties
-
Audiologist Primary(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 103816 | STATE LICENSE |
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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