Individual
GEORGE WALTER MCREYNOLDS
Active
Individual
GEORGE WALTER MCREYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary
D6098
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038482801
—
TX
01
—
TXB166198
MEDICARE - GROUP
TX
Enumeration date
11/29/2005
Last updated
10/21/2019
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