# RENAISSANCE CASE MANAGEMENT SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003090473
- **Authorized official:** MR. MICHAEL GRAVES RN, BSN, CPT, MT, (CASE MANAGER)
- **Authorized official phone:** (713) 528-2097

## Contact information

- **Practice address:** 4141 SOUTHWEST FWY, SUITE 510, HOUSTON, TX 77027-7313
- **Practice address phone:** (713) 528-2097
- **Practice address fax:** (713) 665-7702
- **Mailing address:** 4141 SOUTHWEST FWY, SUITE 510, HOUSTON, TX 77027-7313
- **Mailing address phone:** (713) 528-2097
- **Mailing address fax:** (713) 665-7702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | 2-55949 | TX | Yes |

## Other

- **Enumeration date:** 12/20/2007
- **Last updated:** 12/21/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1043494404 | — | TX |
| 05 | — | 1194857821 | — | TX |