Provider Demographics
NPI:1205866696
Name:DARVEAUX, RENE E (MD)
Entity Type:Individual
Prefix:DR
First Name:RENE
Middle Name:E
Last Name:DARVEAUX
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6565 WEST LOOP SOUTH
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-3505
Mailing Address - Country:US
Mailing Address - Phone:713-850-7272
Mailing Address - Fax:713-877-0970
Practice Address - Street 1:6565 WEST LOOP SOUTH
Practice Address - Street 2:SUITE 300
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-3505
Practice Address - Country:US
Practice Address - Phone:713-850-7272
Practice Address - Fax:713-877-0970
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-03
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXF5510207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8AJ401OtherBLUE CROSS BLUE SHIELD
TXP00073055Medicare ID - Type UnspecifiedMEDICARE RAILROAD
TXB22132Medicare UPIN
TX00648TMedicare PIN