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Individual

MR. PAUL A REINHART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
4141 S. STAPLES SUITE 300, CORPUS CHRISTI, TX 78411-2929
(361) 882-5560
(361) 882-6011
Mailing address
108 HAWTHORNE PL, PORTLAND, TX 78374-1428
(361) 643-1742
(361) 643-1742

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA00040
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0040EE
BLUE CROSS BLUE SHIELD
TX
01
87N264
BLUE CROSS BLUE SHIELD
TX
01
970030081
MEDICARE RAILROAD
TX
01
CK7292
MEDICARE RAILROAD
TX
Enumeration date
06/20/2005
Last updated
05/16/2017
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