Individual
MR. ANDREW REYNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
925 E SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-1476
(817) 912-8810
Mailing address
925 E SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-1476
(817) 912-8810
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
29522
NE
207Q00000X
Family Medicine Physician
Primary
T5652
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/25/2013
Last updated
07/29/2022
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