OrganizationActive
Renew Wellness Services PLLC
NPI 1710246541 · Primary Care Clinic/Center · Texarkana, TX
Provider details
- NPI number
- 1710246541
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Theresa Fontenot, Provider(903) 255-6398
- License
- PA00982 (TX)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
3939 Texas Blvd
Texarkana, TX 75503-3207
Phone: (903) 255-6398
Fax: (903) 794-6305
Street-level locationGet directions
Mailing address
3939 Texas Blvd
Texarkana, TX 75503-3207
Registry dates
- Enumerated
- 2012-05-14
- Last updated
- 2012-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.