NPI 1346986692 · live from the CMS NPI Registry
Renat Ramilevich Ahatov
Dermatology in Kingwood, TX. National Provider Identifier 1346986692, active.
NPI record
| NPI | 1346986692 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 22999 Highway 59 N, Kingwood, TX 77339 |
| Practice phone | 281-348-8000 |
| Mailing address | 2717 Pueblo Dr, Waco, TX 76712 |
| Enumerated | May 10, 2022 |
| Last updated | June 3, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Dermatology primary | 207N00000X | V8913 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.