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Diabetic Renewal Center LLC

Infusion Therapy Clinic/Center in Tyler, TX · enumerated 2015 · authorized official Jeff Dethlefsen, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1750764189

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Diabetic Renewal Center LLC
Other name <Unavail>
Practice address 1015 Pruitt Pl Ste 105, Tyler, TX, 75703
Phone (903) 528-6000
Fax (903) 526-0565
Enumeration date Jul 2, 2015
Last updated in NPPES Jul 21, 2022

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License F3205 (TX) Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
261QI0500X Infusion Therapy Clinic/Center Ambulatory Health Care Facilities · License 261Q10500X (TX) Primary

Authorized official

Name Jeff Dethlefsen
Title Owner
Phone (903) 258-6000

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Diabetic Renewal Center LLC?
NPPES lists Jeff Dethlefsen (Owner) as the authorized official for this organization.
What is the NPI number for Diabetic Renewal Center LLC?
The NPI for Diabetic Renewal Center LLC is 1750764189, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-21.