Individual
DR. MICHELLE RENEE REYNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
221 W COLORADO BLVD, PAV I STE #212, DALLAS, TX 75208-2363
(214) 941-6228
(214) 941-6079
Mailing address
221 W COLORADO BLVD, PAV I STE #212, DALLAS, TX 75208-2363
(214) 941-6228
(214) 941-6079
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
L0541
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153393702
—
TX
01
—
8X9200
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/21/2006
Last updated
01/18/2011
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