Provider Demographics
NPI:1255580528
Name:MONY, RENJANA (MD)
Entity type:Individual
Prefix:
First Name:RENJANA
Middle Name:
Last Name:MONY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:12895 JOSEY LN STE 120
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75234-8306
Mailing Address - Country:US
Mailing Address - Phone:972-481-1881
Mailing Address - Fax:972-481-1888
Practice Address - Street 1:12895 JOSEY LN STE 120
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75234-8306
Practice Address - Country:US
Practice Address - Phone:972-481-1881
Practice Address - Fax:972-481-1888
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-11
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY249400207Q00000X
TXN3190207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine