Individual
QING REN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1330 WONDER WORLD DR STE 101, SAN MARCOS, TX 78666-7567
(512) 805-0680
(512) 805-0682
Mailing address
12221 N MOPAC EXPY, AUSTIN, TX 78758-2401
(512) 805-0680
(512) 805-0682
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
0101240430
VA
207RN0300X
Nephrology Physician
MD.202116
LA
207RN0300X
Nephrology Physician
Primary
P7973
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01253061
—
MS
05
—
1006891
—
LA
05
—
334817901
—
TX
01
—
P01393814
RRMDCR
TX
Enumeration date
08/01/2007
Last updated
02/01/2022
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