Organization
MAURICIO A REINOSO MD PA
Active
Organization
MAURICIO A REINOSO MD PA
Active
Other names
Southwest Pulmonary and Sleep Disorders
Organization subpart
No
Provider details
NPI number
Authorized official
KOKO TAYLOR (OFFICE ADMINISTRATOR)
(281) 980-1330
Entity
Organization
Contact information
Practice address
16605 SOUTHWEST FWY, SUITE 310, SUGAR LAND, TX 77479-3501
(281) 980-1330
(281) 980-1331
Mailing address
16605 SOUTHWEST FWY, SUITE 310, SUGAR LAND, TX 77479-3501
(281) 980-1330
(281) 980-1331
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
J5877
TX
207RP1001X
Pulmonary Disease Physician
Primary
J5877
TX
207RS0012X
Sleep Medicine (Internal Medicine) Physician
J5877
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0093NX
BLUE CROSS BLUE SHIELD
TX
Enumeration date
05/23/2007
Last updated
10/07/2011
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