Individual
BRIAN W. REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
11950 BOB MITCHELL DR, EL PASO, TX 79936-4553
(915) 856-5760
(915) 783-8187
Mailing address
PO BOX 9520, EL PASO, TX 79995-9520
(915) 783-8164
(915) 783-8187
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
50733
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080186A
BLUE CROSS BLUESHIELD TX
TX
05
—
094628703
—
TX
Enumeration date
04/09/2008
Last updated
04/09/2008
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