Provider Demographics
NPI:1750364600
Name:SARREAL, RENATO JR (MD)
Entity type:Individual
Prefix:DR
First Name:RENATO
Middle Name:
Last Name:SARREAL
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:25500 TWO CREEKS APT 1203
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78255-2501
Mailing Address - Country:US
Mailing Address - Phone:210-845-8949
Mailing Address - Fax:
Practice Address - Street 1:25500 TWO CREEKS
Practice Address - Street 2:APT 1203
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78255-2501
Practice Address - Country:US
Practice Address - Phone:972-715-5000
Practice Address - Fax:972-715-9976
Is Sole Proprietor?:No
Enumeration Date:2005-11-23
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM0557207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1716458-01Medicaid
TX8D3508Medicare ID - Type UnspecifiedMEDICARE