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RENAT RAMILEVICH AHATOV

Individual Provider (NPI-1) Active

Dermatology

Provider Information

NPI Number
1346986692
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
22999 HIGHWAY 59 N, KINGWOOD, TX, 773394412
Phone
(281) 348-8000

Specialties & Taxonomies

Student in an Organized Health Care Education/Training Program
Dermatology Primary License: TX #V8913

All Addresses

MAILING

2717 PUEBLO DR

WACO, TX, 767128368

(254) 652-7962

LOCATION

22999 HIGHWAY 59 N

KINGWOOD, TX, 773394412

(281) 348-8000