Individual
RAE ZYN BRANA REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, ANP
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP109725
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156611901
—
TX
01
—
500030642
RR MEDICARE
TX
01
—
8N3685
BCBS
TX
Enumeration date
10/16/2006
Last updated
05/19/2017
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