Tamirisa, Renu

Tamirisa, Renu is an sole proprietor health care provider with primary practice located at 3519 Town Center Blvd S #300, Sugar Land TX 77479-1000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Tamirisa, Renu can be contacted via phone (281) 277-3300.

Contact Information

Primary practice address
3519 Town Center Blvd S #300 Sugar Land TX 77479-1000
Fax: (281) 277-0158
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G2826 Texas

Profile Details

NPI number 1336149400
LBN Legal business name Tamirisa, Renu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 29th, 2005
Last updated Jul 14th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336149400 NPPES
Texas MEDICAID 148681301

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