Individual
DR. EVAN M. RENZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3551 ROGER BROOKE DR, MCHE-QD (CREDENTIALS), JBSA FORT SAM HOUSTON, TX 78234-4504
(210) 916-5509
Mailing address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 916-3301
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2000-95
NM
Other
Enumeration date
11/08/2005
Last updated
08/03/2023
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