Individual
PAUL N RENTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G8368
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123825
SUPERIOR HEALTHPLAN
TX
01
—
81R704
BLUE CROSS BLUE SHIELD
TX
01
—
A003
HUMANA MILITARY HEALTHPLA
TX
01
—
MDG8368
WORKERS COMPENSATION
TX
Enumeration date
12/01/2006
Last updated
12/07/2007
Update your record
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