Provider Demographics
NPI:1346815206
Name:RENEW LIFE REJUVENATION OF THE WOODLANDS, PLLC
Entity type:Organization
Organization Name:RENEW LIFE REJUVENATION OF THE WOODLANDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/EDUCATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAINO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-651-2020
Mailing Address - Street 1:3000 RESEARCH FOREST DR STE 150
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77381-4395
Mailing Address - Country:US
Mailing Address - Phone:281-651-2020
Mailing Address - Fax:281-292-6388
Practice Address - Street 1:3756 E FM 528 RD
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-5041
Practice Address - Country:US
Practice Address - Phone:281-993-2225
Practice Address - Fax:281-292-6388
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RENEW LIFE REJUVENATION OF THE WOODLANDS, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-05-24
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty