Individual
DR. JANA MARIE REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3410 WORTH ST STE 300, DALLAS, TX 75246-2012
(214) 370-1500
(214) 370-1512
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-0813
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10034611
TX
207RX0202X
Medical Oncology Physician
Primary
Q2610
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
347260701
—
TX
05
—
347260702
—
TX
01
—
P01819921
RAILDROAD
TX
Enumeration date
05/14/2009
Last updated
05/03/2017
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