Individual
SHANE DOUGLAS REYNAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7832 PAT BOOKER RD, LIVE OAK, TX 78233-2601
(210) 657-9338
Mailing address
7832 PAT BOOKER RD, LIVE OAK, TX 78233-2601
(210) 657-9338
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
U2302
TX
Other
Enumeration date
04/04/2019
Last updated
08/21/2023
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