Individual
JARED AUGUSTINE REYNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
613 ELIZABETH ST STE 804, CORPUS CHRISTI, TX 78404-2231
(361) 854-0811
(361) 806-5040
Mailing address
5917 CROSSTOWN EXPY, CORPUS CHRISTI, TX 78417-3504
(361) 854-0811
(361) 806-5040
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA16380
TX
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/08/2022
Last updated
03/05/2026
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