Individual
DR. RENAN R SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10700 MCPHERSON AVE, LAREDO, TX 78045-6268
(956) 523-2112
Mailing address
PO BOX 3719, LAREDO, TX 78044-3719
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G9212
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1262172-02
—
TX
05
—
126217207
—
TX
Enumeration date
06/16/2006
Last updated
12/28/2012
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