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Organization
RENAISSANCE CASE MANAGEMENT SERVICES
Active
Organization
RENAISSANCE CASE MANAGEMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL GRAVES RN, BSN, CPT, MT, (CASE MANAGER)
(713) 528-2097
Entity
Organization
Contact information
Practice address
4141 SOUTHWEST FWY, SUITE 510, HOUSTON, TX 77027-7313
(713) 528-2097
(713) 665-7702
Mailing address
4141 SOUTHWEST FWY, SUITE 510, HOUSTON, TX 77027-7313
(713) 528-2097
(713) 665-7702
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
2-55949
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043494404
—
TX
05
—
1194857821
—
TX
Enumeration date
12/20/2007
Last updated
12/21/2007
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