Maricevich, Renata Lins Bezerra Desouza

Maricevich, Renata Lins Bezerra Desouza is an individual health care provider with primary practice located at 6701 Fannin St , Houston TX 77030-2608. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is her primary health care specialty. Maricevich, Renata Lins Bezerra Desouza can be contacted via phone (832) 824-1000.

Contact Information

Primary practice address
6701 Fannin St Houston TX 77030-2608
Phone: (832) 824-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 51190 Minnesota
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 51190 Minnesota
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X Q8747 Texas

Profile Details

NPI number 1487872255
LBN Legal business name Maricevich, Renata Lins Bezerra Desouza
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
Last updated Jul 9th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487872255 NPPES
Minnesota MEDICAID ENROLLED

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