Individual
DR. REAGAN M POLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4000 SPENCER HWY, PASADENA, TX 77504-1202
(713) 359-2000
Mailing address
PO BOX 3945, DEPT 841, HOUSTON, TX 77253-3945
(281) 358-8114
(281) 358-0609
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A95185
CA
207L00000X
Anesthesiology Physician
Primary
N7963
TX
207LP3000X
Pediatric Anesthesiology Physician
BP10034274
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281829601
—
TX
05
—
281829602
—
TX
01
—
8CR667
BLUE CROSS/BLUE SHIELD
TX
01
—
P01052485
RAILROAD MEDICARE
TX
Enumeration date
12/26/2006
Last updated
04/16/2014
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