Individual
AMANDA MINICK RENEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
755 N. 11TH STREET, P2200, BEAUMONT, TX 77702-1513
(409) 892-1192
(409) 924-7511
Mailing address
755 N 11TH ST STE P2200, BEAUMONT, TX 77702-1513
(409) 892-1192
(409) 924-7511
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
755876
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
755876
APN
TX
Enumeration date
05/01/2013
Last updated
11/05/2025
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