Diabetic Renewal Center LLC
NPI 1750764189 · Infusion Therapy Clinic/Center · Tyler, TX
Diabetic Renewal Center LLC is a Infusion Therapy Clinic/Center organization in Tyler, TX (NPI 1750764189).
Provider details
- NPI number
- 1750764189
- Entity type
- Organization
- Primary specialty
- Infusion Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jeff Dethlefsen, Owner(903) 258-6000
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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)
- Former legal business name
- Trina Health Care Center of Tyler LLC
- Former legal business name
- Trina Health Care Center of Tyler LLC
Additional practice locations (1)
- 1108 S Buffalo StCanton, TX 75103-2304Phone: (903) 258-6000Fax: (903) 526-0565
Registry dates
- Enumerated
- 2015-07-02
- Last updated
- 2022-07-21
Frequently asked questions
- What is Diabetic Renewal Center LLC's NPI number?
- Diabetic Renewal Center LLC's National Provider Identifier (NPI) is 1750764189, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Diabetic Renewal Center LLC?
- Diabetic Renewal Center LLC is classified in the NPPES registry as Infusion Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Diabetic Renewal Center LLC located?
- Diabetic Renewal Center LLC's practice location on file with NPPES is 1015 Pruitt Pl Ste 105, Tyler, TX 75703-1154.
- What is Diabetic Renewal Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Diabetic Renewal Center LLC is (903) 528-6000.
- Who is the authorized official for Diabetic Renewal Center LLC?
- The authorized official listed on Diabetic Renewal Center LLC's NPPES record is Jeff Dethlefsen, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Diabetic Renewal Center LLC's NPI active?
- Yes — Diabetic Renewal Center LLC's NPI (1750764189) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.