Provider Demographics
NPI:1598902207
Name:RENEE L. CEVEY, M.D., P.A.
Entity Type:Organization
Organization Name:RENEE L. CEVEY, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:CEVEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-826-0311
Mailing Address - Street 1:414 W SUNSET RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-1756
Mailing Address - Country:US
Mailing Address - Phone:210-826-0311
Mailing Address - Fax:210-826-0386
Practice Address - Street 1:414 W SUNSET RD
Practice Address - Street 2:SUITE 105
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-1756
Practice Address - Country:US
Practice Address - Phone:210-826-0311
Practice Address - Fax:210-826-0386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-16
Last Update Date:2013-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN0681208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty