Renee Anne Bellanger in San Antonio - Nutrition Support

Renee Anne Bellanger - NPI 1316039894

Renee Anne Bellanger is a Nutrition Support in San Antonio, Texas. Renee Anne Bellanger practices all healthcare services and medical treatments related to Nutrition Support. The NPI Number for Renee Anne Bellanger is 1316039894. The last update date is 2007-08-06.

Renee Anne Bellanger's current location address is 4301 Broadway, San Antonio, Texas. You can contact this provider via phone number 2108831088 and fax number 2108831013. The mailing address for Renee Anne Bellanger is 4301 Broadway, San Antonio, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Renee Anne Bellanger
Address 4301 Broadway, San Antonio, Texas
Phone Number 2108831088
Fax Number 2108831013
Sole Proprietor Y
Credentials PHARM.D.

NPI Number Detail

NPI Number 1316039894
Provider Enumeration Date 2006-09-29
Last Updated Date 2007-08-06

Provider Mailing Address Detail

Address 4301 Broadway
City San Antonio
State Texas (TX)
Post Code 78209
Phone Number 2108831088
Fax Number 2108831013

Provider's Primary Taxonomy Detail

Speciality Nutrition Support
Taxonomy 1835N1003X
Licence No 24710
Definition:
A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
24710 TX PHARMACIST LICENSE
11852 LA PHARMACIST LICENSE

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FAQs about Renee Anne Bellanger

What is the unique identifier code issued to Renee Anne Bellanger by the Centers for Medicare & Medicaid Services?

The Renee Anne Bellanger has been assigned the NPI (National Provider Identifier) 1316039894. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Where is the Renee Anne Bellanger located?

The Renee Anne Bellanger is located at 4301 Broadway, San Antonio, TX 78209.

What is Renee Anne Bellanger's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Renee Anne Bellanger is Nutrition Support, and the taxonomy code that categorizes this field of expertise is 1835N1003X.

On what date did the Renee Anne Bellanger receive its 1316039894 assignment from the Centers for Medicare & Medicaid Services?

The Renee Anne Bellanger was assigned its 1316039894 by the Centers for Medicare & Medicaid Services on 2006-09-29.

When was the information pertaining to Renee Anne Bellanger most recently updated or revised?

The details related to Renee Anne Bellanger, including its address, specialty, and other relevant information, were last updated or revised on 2007-08-06.

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