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Organization
RENWA ANESTHESIA, PLLC
Active
Organization
RENWA ANESTHESIA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE ANN RENOUF C.R.N.A. (MANAGING PARTNER)
(817) 294-7444
Entity
Organization
Contact information
Practice address
6445 HARRIS PKWY STE 150, FORT WORTH, TX 76132-4140
(817) 294-7444
Mailing address
PO BOX 11219, FORT WORTH, TX 76110-0219
(817) 294-7444
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C15S
BLUE CROSS BLUE SHIELD
TX
Enumeration date
09/27/2006
Last updated
11/14/2011
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