NPI age
10 years
Enumerated 2015-07-02
● Active Type 2 · Organization
Diabetic Renewal Center Llc
Diabetic Renewal Center Llc is 1 of 139 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Plus 2 secondary
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Dethlefsen
Owner
Last NPPES update
2022-07-21
Source: monthly bulk 2026-05
How this organization compares
Across 139 active clinic/center providers in Texas.
NPI age
10 years
↑ 4 yr above median
Practice locations
2
1 secondary on file
Subspecialties
2
In the 30% of peers with subspecialties
NPI lifetime · 2015 → 2026
2015-07Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
1015 Pruitt Pl Ste 105
Tyler, TX 757031154
Mailing address
1015 Pruitt Pl Ste 105
Tyler, TX 757031154
Additional practice locations
1 secondary location on file with NPPES.
Location 2
1108 S Buffalo St
Canton, TX 751032304
Authorized official
Jeff E Dethlefsen
Owner
📞 9032586000
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
Family MedicineFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
-
Internal MedicineA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
TRINA HEALTH CARE CENTER OF TYLER LLC
-
TRINA HEALTH CARE CENTER OF TYLER LLC
Practice context
Multi-site organization. 1 additional practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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