Louis J Renault MD

NPI 1063439669 - Otolaryngology - 207Y00000X

NPI Details
NPI 1063439669
Gender Male
Enumeration Date 07/17/2006
Last Updated 10/04/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
1500 S MAIN ST
SUITE 303
FORT WORTH TX, 76104-4917, US
Phone (817) 921-3431
Fax (817) 927-1605
Business Location
PO BOX 961205
FORT WORTH TX, 76161-1205, US
Phone (817) 740-8400
Fax (817) 927-1605
Toxanomy
Taxonomy Code 207Y00000X
License State Texas
License Number E8134
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According to our database, Louis J Renault MD NPI is 1063439669, taxonomy code is 207Y00000X and license number is E8134, license state is located at Texas. Louis J Renault MD physically located at 1500 S Main St, Fort Worth TX, 76104-4917. NPI Number Louis J Renault MD has the Individual type.

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1063439669 NPI number is provided on an as is basis without warranty of any kind. 1063439669 is maintained by the National Plan & Provider Enumeration System. The contents of Louis J Renault MD are for informational purposes only.