Individual
DR. MARY-CATHERINE ELIZABETH RENSKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 539-9956
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
DOS1721
HI
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
DOS1721
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VAD000
UPIN
HI
Enumeration date
05/16/2014
Last updated
08/17/2020
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