Individual
DAVID LEN RENNECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3705 MEDICAL PKWY, SUITE 570, AUSTIN, TX 78705-1019
(512) 454-2454
(512) 454-1532
Mailing address
3705 MEDICAL PKWY, SUITE 570, AUSTIN, TX 78705-1019
(512) 454-2454
(512) 454-1532
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
40367
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80237C
BC/BS
TX
05
—
88549301
—
TX
Enumeration date
11/21/2005
Last updated
11/01/2007
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