Individual
MR. JEREMY REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
322 COLEMAN ST, FALLS COMMUNITY HOSPITAL, MARLIN, TX 76661-2358
(254) 803-3561
(254) 883-6066
Mailing address
322 COLEMAN ST, PO BOX 60, MARLIN, TX 76661-2358
(254) 803-3561
(254) 883-6066
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA06282
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0815318-01
—
TX
Enumeration date
02/27/2006
Last updated
01/11/2010
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