Provider Demographics
NPI:1699756882
Name:BRENNER, RALPH L (M D)
Entity type:Individual
Prefix:DR
First Name:RALPH
Middle Name:L
Last Name:BRENNER
Suffix:
Gender:M
Credentials:M D
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Mailing Address - Street 1:6400 FANNIN ST
Mailing Address - Street 2:SUITE 1800
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1521
Mailing Address - Country:US
Mailing Address - Phone:713-559-5200
Mailing Address - Fax:713-795-0733
Practice Address - Street 1:6400 FANNIN ST
Practice Address - Street 2:18 FLOOR
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1511
Practice Address - Country:US
Practice Address - Phone:713-559-5200
Practice Address - Fax:713-795-0733
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2010-02-09
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Provider Licenses
StateLicense IDTaxonomies
TXD2369207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX81423KMedicare ID - Type UnspecifiedMEDICARE