| Organization Name: | RENAISSANCE PROVIDER RESOURCE MGMT, LLC |
| NPI Number: | 1598172132 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SANDRA J BITNER (ADMINISTRATOR) |
| Mailing Address: | 512 Victoria Ln Ste 14 Harlingen |
| State: | TX US |
| Postal Code: | 785503235 |
| Phone Number: | 9562302809 |
| Fax Number: | 9562302831 |
| NPI Enumeration Date: | 07/15/2014 |
| NPI Last Update Date: | 07/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 13266 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |