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

Renaissance Medical Management LLC

Organization Diagnostic Radiology Physician · NPI 1194583963

Renaissance Medical Management LLC is a Diagnostic Radiology Physician in Edmond, Oklahoma. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3509 French Park Dr Ste E
Edmond, OK 73034-7291
Phone: (405) 285-6901
Fax: (405) 285-6902
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X

Record details

NPI number1194583963
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Watts — Owner, Medical Doctor · (405) 205-7424
NPI enumeratedMarch 7, 2024
Last updated in NPPESMarch 7, 2024
Certification dateMarch 7, 2024
Mailing address941 W I-35 Frontage Road Ste 116 Pmb 203, Edmond, OK 73034

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