Ray Rendon is a Surgical in Fort Sam Houston, Texas. Ray Rendon practices all healthcare services and medical treatments related to Surgical. The NPI Number for Ray Rendon is 1598734899. The last update date is 2023-06-01.
Ray Rendon's current location address is 3551 Roger Brooke Dr, Fort Sam Houston, Texas. You can contact this provider via phone number 2109162485. The mailing address for Ray Rendon is 3551 Roger Brooke Dr, Fort Sam Houston, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ray Rendon |
|---|---|
| Address | 3551 Roger Brooke Dr, Fort Sam Houston, Texas |
| Phone Number | 2109162485 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1598734899 |
|---|---|
| Provider Enumeration Date | 2006-03-17 |
| Last Updated Date | 2023-06-01 |
Provider Mailing Address Detail
| Address | 3551 Roger Brooke Dr |
|---|---|
| City | Fort Sam Houston |
| State | Texas (TX) |
| Post Code | 782344504 |
| Phone Number | 2109162485 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 1046213 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA09738 | TX | TEXAS MEDICAL BOARD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Ray Rendon by the Centers for Medicare & Medicaid Services?
The Ray Rendon has been issued the NPI (National Provider Identifier) 1598734899, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Ray Rendon?
The Ray Rendon is physically situated at 3551 Roger Brooke Dr, in the city of Fort Sam Houston, state of TX, with the postal code 782344504.
What is the Ray Rendon's specialty and taxonomy code?
The Ray Rendon's specialty is Surgical, and the corresponding taxonomy code is 363As0400X.
On what date did the Ray Rendon receive the assignment of its 1598734899 from the Centers for Medicare & Medicaid Services?
The Ray Rendon was issued its 1598734899 by the Centers for Medicare & Medicaid Services on 2006-03-17.
When was the information related to Ray Rendon most recently updated or refreshed?
The details pertaining to the Ray Rendon, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-06-01.