Individual
CHANDRA N REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
801 7TH AVE, FORT WORTH, TX 76104-2733
(682) 885-4054
(682) 885-7499
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-6483
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35.092109
OH
207L00000X
Anesthesiology Physician
N2937
TX
207L00000X
Anesthesiology Physician
R7361
IA
207LP3000X
Pediatric Anesthesiology Physician
Primary
N2937
TX
Other
Enumeration date
05/17/2007
Last updated
10/01/2021
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