Individual
JACK P RHEINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
900 S BRYAN RD, MISSION, TX 78572-6613
(956) 580-9000
Mailing address
701 MYNAH AVE APT C, MCALLEN, TX 78504-1784
(956) 683-9182
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
537763
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8Y0795
BCBS
TX
Enumeration date
09/29/2006
Last updated
03/26/2008
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