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Organization
RENAISSANCE PAIN MANAGEMENT, LTD
Active
Organization
RENAISSANCE PAIN MANAGEMENT, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND WALKER (OWNER)
(956) 682-4151
Entity
Organization
Contact information
Practice address
4228 N MCCOLL RD, MCALLEN, TX 78504-2523
(956) 682-4151
(956) 682-4154
Mailing address
PO BOX 3328, MCALLEN, TX 78502-3328
(956) 682-4151
(956) 682-4154
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
NULL
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C68S
BCBS
TX
05
—
177007501
—
TX
Enumeration date
05/07/2007
Last updated
04/15/2016
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