# BRIAN W. REYNOLDS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1740453828
- **Gender:** Man
- **Credential:** PHD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 50733 | TX | Yes |

## Other

- **Enumeration date:** 04/09/2008
- **Last updated:** 04/09/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 080186A | BLUE CROSS BLUESHIELD TX | TX |
| 05 | — | 094628703 | — | TX |
