Renew Medical Spa LLC
NPI 1164739025 · Medical Specialty Clinic/Center · Texarkana, TX
Renew Medical Spa LLC is a Medical Specialty Clinic/Center organization in Texarkana, TX (NPI 1164739025).
Provider details
- NPI number
- 1164739025
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Theresa Fontenot, Owner(903) 255-6398
- License
- PA-190 (AR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Renew Medical Spa and Nutritional Wellness Center
Registry dates
- Enumerated
- 2010-09-13
- Last updated
- 2012-02-06
Frequently asked questions
- What is Renew Medical Spa LLC's NPI number?
- Renew Medical Spa LLC's National Provider Identifier (NPI) is 1164739025, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Renew Medical Spa LLC?
- Renew Medical Spa LLC is classified in the NPPES registry as Medical Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Renew Medical Spa LLC located?
- Renew Medical Spa LLC's practice location on file with NPPES is 3939 Texas Blvd, Texarkana, TX 75503-3207.
- What is Renew Medical Spa LLC's phone number?
- The practice phone number listed in the NPPES registry for Renew Medical Spa LLC is (903) 255-6398.
- Who is the authorized official for Renew Medical Spa LLC?
- The authorized official listed on Renew Medical Spa LLC's NPPES record is Theresa Fontenot, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Renew Medical Spa LLC's NPI active?
- Yes — Renew Medical Spa LLC's NPI (1164739025) is active in the NPPES registry as of the last update on 2012-02-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.