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Individual

DR. DAVID GLENN REYNOLDS SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2741 FM 691, DENISON, TX 75020
(903) 893-7170
(903) 893-4372
Mailing address
2741 FM 691, DENISON, TX 75020
(903) 893-7170
(903) 893-4372

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
H6541
TX
207RN0300X
Nephrology Physician
Primary
H6541
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00K55R
BLUE CROSS BLUE SHIELD
TX
01
100146190A
OKLAHOMA MEDICAID
OK
05
1668535-01
TX
05
1736996
LA
05
185865601
TX
05
200118650A
OK
01
241430304
OKLAHOMA MEDICARE
OK
01
4333749
AETNA
01
P00025103
RAILROAD MEDICARE
TX
Enumeration date
07/08/2005
Last updated
01/13/2026
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