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RENNER PEDIATRICS AND CHILDREN'S HEALTHCARE P.A. NPI 1841475563


NPI Information

NPI: 1841475563
Provider Name: RENNER PEDIATRICS AND CHILDREN'S HEALTHCARE, P.A.
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 45D1044575

Address:
3409 SPECTRUM BLVD
SUITE 300
RICHARDSON, TX
ZIP 75082
Phone: (972) 231-6564
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RENNER PEDIATRICS AND CHILDREN'S HEALTHCARE, P.A. is a pediatrics in Richardson, TX. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. RENNER PEDIATRICS AND CHILDREN'S HEALTHCARE, P.A. NPI is 1841475563. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3409 SPECTRUM BLVD
SUITE 300
RICHARDSON, TX
ZIP 75082
Phone: (972) 231-6564
Fax: (972) 231-0360

The provider's authorized official is Anisa Ahmed .
The authorized official title is Owner, Director, Ceo. and has the following contact phone number (972) 231-6564.

The CLIA number assigned to this NPI record is 45D1044575 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/31/2007 and was last updated on 12/16/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics344819301TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200613201MEDICAIDTEXAS
2200613203MEDICAIDTEXAS
38X8990OTHERTEXASBLUE CROSS BLUE SHIELD
40004PMOTHERTEXASBLUECROSS AND BLUESHIELD OF TEXAS
5200613204MEDICAIDTEXAS
6200613202MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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