MEDICARE: RENU GARG MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080A0000X	Pediatric Adolescent Medicine Physician	G5078	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	039450403	OTHER	TX	EPSDT
3	0095HL	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1497923130
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RENU GARG MD PA

Provider Business Mailing Address
First Line	:	1919 NORTH LOOP W STE 200
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-1368
Country	:	US
Telephone Number	:	713-868-0029
Fax Number	:	713-880-4706

Provider Business Practice Location Address
First Line	:	1919 NORTH LOOP W
Second Line	:	SUITE 200
City	:	HOUSTON
State	:	TX
Zip	:	77008-1374
Country	:	US
Telephone Number	:	713-868-0029
Fax Number	:	713-880-4706

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. AMY K BARNETT
Credential	:
Telephone Number	:	713-868-0029

Provider Enumeration Date	:	02/15/2008
Last Update Date	:	05/07/2026

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