Individual
MARCO ANTONIO RENAZCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
707 S FRY RD, SUITE 465, KATY, TX 77450-2256
(281) 599-3313
(281) 599-3363
Mailing address
707 S FRY RD, SUITE 465, KATY, TX 77450-2256
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
L1976
TX
Other
Enumeration date
11/10/2006
Last updated
07/16/2007
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