Individual
GEORGE S REYNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
215 E QUINCY ST, SUITE 505, SAN ANTONIO, TX 78215-2034
(210) 222-9172
(210) 222-0996
Mailing address
215 E QUINCY ST, SUITE 505, SAN ANTONIO, TX 78215-2034
(210) 222-9172
(210) 222-0996
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
H5796
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0061CJ
BLUECROSS
—
05
—
113217703
—
TX
01
—
180034481
MEDICARE RAILROAD
—
Enumeration date
08/16/2005
Last updated
04/17/2013
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