RENEW MEDICAL SPA LLC
Ambulatory Health at Texas Blvd, Texarkana, TX

License number
Texas PA00892
Category
Ambulatory Health
Type
Medical Specialty
License number
Texas PA-190
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: MRS. THERESA M FONTENOT PA-C
Title: OWNER
Phone: (903) 255-6398
Address
Address
3939 Texas Blvd, Texarkana, TX 75503
National Provider ID: 1164739025
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about RENEW MEDICAL SPA LLC at bizstanding.com

RENEW MEDICAL SPA, LLC

Texarkana, TX

Industry:
Physical Fitness Facility
Doing business as:
RENEW WELLNESS SERVICES PLLC<br>Renew Medical Spa, LLC
Registration:
Nov 30, 2007
Site:
renewmedicalspa.net
Phone:
(903) 255-6398 (Phone)
Addresses:
3939 Texas Blvd, Texarkana, TX 75503 (Mailing)
2101 Galleria Oaks Dr, Texarkana, TX 75503
State ID:
0800904108
Business type:
Domestic Limited Liability Company (LLC)
Managing Members:
Hampton Fontenot (Member), 7704 Volga, Texarkana, TX 75503,Theresa Fontenot (Member, Governing), 7704 Volga, Texarkana, TX 75503,Kyle Groom (Governing), 216 N Ctr St, De Kalb, TX 75559,...
TIN:
32034225220
Categories:
Health & Medical (General), Beauticians, Beauty Salons, ...

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