Individual
MS. RENITA MADU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
12004 SHADOW CREEK PKWY, SUITE 121, PEARLAND, TX 77584-7326
(281) 968-9290
(281) 463-1432
Mailing address
12004 SHADOW CREEK PKWY, SUITE 121, PEARLAND, TX 77584-7326
(281) 968-9290
(281) 463-1432
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA05780
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111687302
—
TX
Enumeration date
07/31/2009
Last updated
04/25/2013
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