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Individual

DICK A. RENSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3114 TIMBERWOOD DR, PEARLAND, TX 77584-3817
(713) 436-0987
Mailing address
3114 TIMBERWOOD DR, PEARLAND, TX 77584-3817
(713) 436-0987

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03819
TX
363A00000X
Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
205657401
TX
Enumeration date
01/24/2007
Last updated
06/28/2010
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