Sowmya Renuka
Dental Public Health
4200 South Fwy
Fort Worth
, Texas 76115-1400
Sowmya Renuka
Dental Public Health
4200 South Fwy
Fort Worth
, Texas 76115-1400
(309) 660-2120
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About
Features
Specialties
- Dental Public Health
Languages spoken
- English
Location
First Address
- Sowmya Renuka
- 735 Cowboys Pkwy Apt 2099
- Irving, TX
- Zip : 75063-7733
- Phone : (309) 660-2120
Second Address
- Sowmya Renuka
- 4200 South Fwy
- Fort Worth, TX
- Zip : 76115-1400
- Phone : (309) 660-2120
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | 33666 | TX |
National Provider Identifier
| NPI | 1609375658 |
|---|---|
| Provider Name | Sowmya Renuka |
| First Address | Irving, TX 75063-7733 |
| Second Address | Fort Worth, TX 76115-1400 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/02/2018 |
| Last Update Date | 05/02/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.