Provider Demographics
NPI:1871314336
Name:REJUVENATING HEALTH PLLC
Entity type:Organization
Organization Name:REJUVENATING HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MINDEE
Authorized Official - Middle Name:J
Authorized Official - Last Name:FLIPPIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:806-239-2287
Mailing Address - Street 1:5704 SPENCER ST
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-7450
Mailing Address - Country:US
Mailing Address - Phone:281-318-5884
Mailing Address - Fax:281-849-6786
Practice Address - Street 1:5704 SPENCER ST
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-7450
Practice Address - Country:US
Practice Address - Phone:281-318-5884
Practice Address - Fax:281-849-6786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-17
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty