Individual
BOBBY CINEUS RENAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1801 MCCORD WAY APT 813, FRISCO, TX 75033
(610) 973-4085
Mailing address
1801 MCCORD WAY APT 813, FRISCO, TX 75033-1150
(670) 973-4085
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
213612
TX
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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