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Individual

JAVIER GABRIEL REYNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
6801 MCPHERSON RD STE 213, LAREDO, TX 78041-6443
(956) 717-4629
Mailing address
6801 MCPHERSON RD, SUITE 213, LAREDO, TX 78041-6402
(956) 717-4629

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
665900
TX

Other

Enumeration date
03/22/2010
Last updated
04/06/2011
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