Individual
MRS. RENUKA C REDDI-DICKASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3100 N STANTON SUITE A, EL PASO, TX 79902
(915) 532-9477
(915) 545-4813
Mailing address
3100 N STANTON SUITE A, EL PASO, TX 79902
(915) 594-9600
(915) 594-9601
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
E0275
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1239782-07
—
TX
05
—
1239782-08
—
TX
Enumeration date
04/28/2008
Last updated
03/22/2019
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