Provider Demographics
NPI:1114915006
Name:THAPAR, RENU K (MD)
Entity Type:Individual
Prefix:DR
First Name:RENU
Middle Name:K
Last Name:THAPAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12121 RICHMOND AVE
Mailing Address - Street 2:SUITE 114
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-2432
Mailing Address - Country:US
Mailing Address - Phone:281-556-6188
Mailing Address - Fax:281-556-6384
Practice Address - Street 1:12121 RICHMOND AVE
Practice Address - Street 2:SUITE 114
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-2432
Practice Address - Country:US
Practice Address - Phone:281-556-6188
Practice Address - Fax:281-556-6384
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-13
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG24942084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX032374901Medicaid
TX032374901Medicaid
B26941Medicare UPIN