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Individual
DR. RENEE M. HENIGAN
Active
Individual
DR. RENEE M. HENIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
N5101
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265475891
GROUP NPI NUMBER
TX
01
—
173321401
GROUP TPI
TX
01
—
173321402
GROUP TPI NUMBER-EPSDT
TX
05
—
218136401
—
TX
05
—
218136404
—
TX
Enumeration date
11/27/2007
Last updated
03/18/2019
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