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RENATA LINS BEZERRA DESOUZA MARICEVICH MD NPI 1487872255


NPI Information

NPI: 1487872255
Provider Name: RENATA LINS BEZERRA DESOUZA MARICEVICH, MD
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

PECOS Registration: Yes

Address:
6701 FANNIN ST
HOUSTON, TX
ZIP 77030
Phone: (832) 824-1000
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Renata Lins Bezerra Desouza Maricevich, MD is a plastic and reconstructive surgery surgery in Houston, TX. The provider is a surgeon who specializes in plastic and reconstructive surgery. Renata Lins Bezerra Desouza Maricevich, MD NPI is 1487872255. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6701 FANNIN ST
HOUSTON, TX
ZIP 77030-608
Phone: (832) 824-1000

The NPI 1487872255 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 7/9/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery51190MINNESOTANo
22086S0122XSurgeryPlastic and Reconstructive SurgeryQ8747TEXASYes
32086S0122XSurgeryPlastic and Reconstructive Surgery51190MINNESOTANo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ENROLLEDMEDICAIDMINNESOTA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.