Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Genesis Renewal, Inc

Organization Clinic/Center · NPI 1215567185

Genesis Renewal, Inc is a Clinic/Center in Bixby, Oklahoma. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12810 S Memorial Dr Unit 307
Bixby, OK 74008-5506
Phone: (918) 685-2896
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1215567185
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rebecca Williamson — Authorized Official · (918) 685-2896
NPI enumeratedJanuary 20, 2020
Last updated in NPPESApril 1, 2026
Certification dateApril 1, 2026
Mailing address12810 S Memorial Dr Unit 307, Bixby, OK 74008-5506

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