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

Renewed Vitality LLC

Organization Family Medicine Physician · NPI 1578849634

Renewed Vitality LLC is a Family Medicine Physician in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2011.

Licensed in
TX
In the registry since
2011
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 →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

9535 Forest Ln Ste 100
Dallas, TX 75243
Phone: (214) 389-1234
Fax: (214) 389-1230
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence J7209 (TX)

Record details

NPI number1578849634
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Rickett — President · (682) 554-2000
NPI enumeratedNovember 2, 2011
Last updated in NPPESNovember 2, 2011
Mailing address9535 Forest Lane, Suite 100, Dallas, TX 75243

Other providers in Dallas