Marco a. Renazco, M.D., P.a.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

L1976 Issued in TX

Legal business name

MARCO A. RENAZCO, M.D., P.A.

Practice address

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

Phone

(281) 599-3313

Fax

(281) 599-3363

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Marco Antonio Renazco, M.D.NPI 1518038751

Title

President

Phone

(281) 599-3313

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marco Antonio Renazco, M.D.

  • Psychiatry Physician
  • Katy, TX
  • NPI 1518038751
  NPD (past) Authorized official

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952335903",
    "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",
            "telephone_number": "281-599-3313",
            "fax_number": "281-599-3363"
        },
        {
            "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": {
        "organization_name": "MARCO A. RENAZCO, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RENAZCO",
        "authorized_official_first_name": "MARCO",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-599-3313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "L1976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.