Individual
RENZY LOUIS DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
6800 PARK TEN BLVD STE 200S, SAN ANTONIO, TX 78213-4293
(210) 261-1000
Mailing address
6800 PARK TEN BLVD STE 200S, SAN ANTONIO, TX 78213-4293
(210) 261-1000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
107495
TX
104100000X
Social Worker
6802085802
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
382753046
—
MI
Enumeration date
04/16/2012
Last updated
03/21/2023
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