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 provides Diagnostic Radiology Physician services 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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