RENAISSANCE WOMEN'S GROUP PA NPI 1720118177

NPI Information

RENAISSANCE WOMEN'S GROUP PA is an obstetrics gynecology in Austin, TX. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. RENAISSANCE WOMEN'S GROUP PA NPI is 1720118177. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12201 RENFERT WAY STE 340
AUSTIN, TX
ZIP 78758-369
Phone: (512) 425-3818
Fax: (512) 425-3888

The provider's authorized official is Byron G Darby .
The authorized official title is Ceo and has the following contact phone number (512) 425-3818.

The CLIA number assigned to this NPI record is 45D2277524 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/6/2007 and was last updated on 10/30/2008.

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:

Other Identifiers

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

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