Organization
REYNOLDS PLASTIC SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD DALE REYNOLDS M.D. (DOCTOR)
(915) 532-6662
Entity
Organization
Contact information
Practice address
125 W HAGUE RD, SUITE 120, EL PASO, TX 79902-5814
(915) 532-6662
(915) 532-6686
Mailing address
125 W HAGUE RD, SUITE 120, EL PASO, TX 79902-5814
(915) 532-6662
(915) 532-6686
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
K7875
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8M0830
BLUE CROSS BLUE SHIELD
TX
Enumeration date
03/06/2007
Last updated
08/22/2020
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