Individual
PATRICIA J BRENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
6565 FANNIN ST, HOUSTON, TX 77030-2703
(713) 790-3530
Mailing address
6565 FANNIN, SUITE B452, HOUSTON, TX 77030-2703
(713) 441-2677
(713) 790-6313
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
551056
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
551056
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185901901
—
TX
05
—
185901902
—
TX
05
—
185901903
—
TX
05
—
185901904
—
TX
01
—
8Y0334
BLUE CROSS BLUE SHIELD
TX
01
—
P01055692
RR MEDICARE
TX
Enumeration date
07/13/2006
Last updated
08/17/2016
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