Individual
DEWEI REN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6550 FANNIN ST, SUITE1401, HOUSTON, TX 77030-2717
(713) 441-9515
Mailing address
6550 FANNIN ST, SUITE1401, HOUSTON, TX 77030-2717
(713) 441-9515
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
42768
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
45019
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
45431
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
66894
GA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD60223695
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891022414
BLUE CROSS BLUE SHIELD
TX
05
—
309054001
—
TX
05
—
309054003
—
TX
01
—
8663LL
BCBS
TX
Enumeration date
11/04/2009
Last updated
03/12/2019
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