Healthcare Provider Details

I. General information

NPI: 1184289787
Provider Name (Legal Business Name): RANEISHAR RENEE RICHARDSON CPB
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2019
Last Update Date: 05/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6110 W RIDGECREEK DR
HOUSTON TX
77053-3425
US

IV. Provider business mailing address

6110 W RIDGECREEK DR
HOUSTON TX
77053-3425
US

V. Phone/Fax

Practice location:
  • Phone: 346-444-2818
  • Fax: 346-444-2819
Mailing address:
  • Phone: 346-444-2818
  • Fax: 346-444-2819

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code246YC3301X
TaxonomyHospital Based Coding Specialist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code246YC3302X
TaxonomyPhysician Office Based Coding Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: