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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