Christopher Charles Derenzo M.D.

NPI 1871755447 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1871755447
Gender Male
Enumeration Date 06/25/2008
Last Updated 03/21/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
1102 BATES STREET, SUITE 1770
BAYLOR COLLEGE OF MEDICINE, TEXAS CHILDREN'S HOSPITAL
HOUSTON TX, 77030, US
Phone (832) 824-6856
Fax
Business Location
2419 HAZARD ST
HOUSTON TX, 77019-6717, US
Phone (856) 904-1013
Fax
Toxanomy
Taxonomy Code 390200000X
License State Ohio
License Number AU2866626X053
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According to our database, Dr. Christopher Charles Derenzo M.D. NPI is 1871755447, taxonomy code is 390200000X and license number is AU2866626X053, license state is located at Ohio. Christopher Charles Derenzo M.D. physically located at 1102 Bates Street, Suite 1770, Houston TX, 77030. NPI Number Christopher Charles Derenzo M.D. has the Individual type.

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1871755447 NPI number is provided on an as is basis without warranty of any kind. 1871755447 is maintained by the National Plan & Provider Enumeration System. The contents of Christopher Charles Derenzo M.D. are for informational purposes only.