Individual
RENATA LINS BEZERRA DESOUZA MARICEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6701 FANNIN ST, HOUSTON, TX 77030-2608
(832) 824-1000
Mailing address
2 GREENWAY PLZ, SUITE 300, HOUSTON, TX 77046-0297
(832) 828-3660
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
51190
MN
2086S0122X
Plastic and Reconstructive Surgery Physician
51190
MN
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
Q8747
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
Enumeration date
04/24/2007
Last updated
07/09/2021
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