NPI 1013407451
Renovar Wellcare PLLC
Practice location
- Address
- 1509 W Hebron Pkwy STE 140, Carrollton, TX 75010-6492
- Phone
- (972) 306-0016
- Fax
- (972) 306-0017
- Mailing address
- 8533 Royal County Down Dr, McKinney, TX 75070-1680
Authorised official
- Name
- Olusesan Oluseun Olotu
- Title
- Director
- Phone
- (972) 306-0016
Registered specialties
Primary Care Clinic/Center
Primary
Registry record
- NPI
- 1013407451
- Entity type
- Organization
- NPI issued
- 10 May 2018
- Record last updated
- 10 Jul 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.