NPI age
15 years
Enumerated 2010-09-13
● Active Type 2 · Organization
Renew Medical Spa Llc
Renew Medical Spa Llc is 1 of 422 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Fontenot
Owner
Last NPPES update
2012-02-06
Source: monthly bulk 2026-05
How this organization compares
Across 422 active clinic/center providers in Texas.
NPI age
15 years
≈ at median (14 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2010 → 2026
2010-09Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
3939 Texas Blvd
Texarkana, TX 755033207
Mailing address
3939 Texas Blvd
Texarkana, TX 755033207
Authorized official
Theresa M Fontenot, PA-C
Owner
📞 9032556398
Specialties
-
Clinic/Center PrimaryAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 4995690001 | CIGNA GOVERMENT SERVICES |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
ReNew Medical Spa and Nutritional Wellness Center
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.