Marco Antonio Renazco, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

L1976 Issued in TX

Practice address

707 S Fry Rd
Suite 465
Katy, TX 77450-2256

Phone

(281) 599-3313

Fax

(281) 599-3363

NPI assigned

Nov 10, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2014 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Marco a. Renazco, M.D., P.a.

  • Psychiatry Physician
  • Katy, TX
  • NPI 1952335903
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1518038751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 S FRY RD",
            "address_2": "SUITE 465",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 S FRY RD",
            "address_2": "SUITE 465",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502256",
            "telephone_number": "281-599-3313",
            "fax_number": "281-599-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENAZCO",
        "first_name": "MARCO",
        "middle_name": "ANTONIO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "L1976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Remedy Medical Group LLC
• Remedy Solutions LLC (Remedy Aesthetics And Weightloss Solutions)
• Rose Remington, RBT
• Remonic Global LLC
• Renal Care Houston PLLC
• Renew Health, PLLC
• Renew Spine & Rehab PLLC
• Renew Wellness Center
• Renewed Vision Behavioral Health Services LLC
• Renewlife Health Care Services Inc

• Psychiatry Physician in Katy, TX
• Providers in Katy, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.