Individual
THOMAS M REINSVOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4 E CLARK BASS BLVD, SUITE 204, MCALESTER, OK 74501-4269
(918) 422-6071
(918) 421-6077
Mailing address
114 WESTFIELD LOOP, LUFKIN, TX 75904-7212
(417) 437-7683
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
109396
MO
207RC0000X
Cardiovascular Disease Physician
Primary
20011
OK
207RC0000X
Cardiovascular Disease Physician
P4999
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060035200
RR MEDICARE
—
05
—
100187310A
—
KS
05
—
100214510A
—
OK
01
—
11496
ANTHEM
MO
05
—
208175406
—
MO
Enumeration date
06/22/2006
Last updated
01/06/2017
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