| Organization Name: | RENEWED MINDS LLC |
| NPI Number: | 1326439514 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GARY HOLMAN (OWNER) |
| Mailing Address: | 15210 Highway 3 Suite 105 Webster |
| State: | TX US |
| Postal Code: | 775986716 |
| Phone Number: | 2818279674 |
| Fax Number: | |
| NPI Enumeration Date: | 02/10/2015 |
| NPI Last Update Date: | 02/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 03209 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |