| Renner Anesthesia Partners Pllc | |
|
11811 Fm 1960 Rd W Ste 165 Houston TX 77065-3828 | |
| (713) 913-3764 | |
| (713) 913-3790 |
| Full Name | Renner Anesthesia Partners Pllc |
|---|---|
| Speciality | Anesthesiology |
| Location | 11811 Fm 1960 Rd W Ste 165, Houston, Texas |
| Authorized Official Name and Position | Aisha Khan (DIRECTOR) |
| Authorized Official Contact | 3252299734 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renner Anesthesia Partners Pllc 3009 E Renner Rd Ste 100 Richardson TX 75082-3572 Ph: (325) 229-9734 | Renner Anesthesia Partners Pllc 11811 Fm 1960 Rd W Ste 165 Houston TX 77065-3828 Ph: (713) 913-3764 |
| NPI Number | 1902533839 |
|---|---|
| Provider Enumeration Date | 08/02/2022 |
| Last Update Date | 08/02/2022 |
| Certification Date | 08/02/2022 |
| Medicare PECOS PAC ID | 7517342256 |
|---|---|
| Medicare Enrollment ID | O20220916001818 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902533839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
| 207L00000X | Anesthesiology | (* (Not Available)) | Primary |
| Provider Name | Laura Vasquez Gerlich |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194164046 PECOS PAC ID: 7214161710 Enrollment ID: I20131017000292 |
| Provider Name | Obaid S Malik |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1972946077 PECOS PAC ID: 2365707577 Enrollment ID: I20180517000561 |
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