Individual
TOMMY LEE REYNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, BSN
Contact information
Practice address
409 CANO ST, DEL RIO, TX 78840-6923
(210) 396-0503
Mailing address
409 CANO ST, DEL RIO, TX 78840-6923
(210) 396-0503
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
972242
TX
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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