Individual
MS. BETTY LOU REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
310 E. I-30, SUITE M106, GARLAND, TX 75043
(972) 226-1015
(972) 226-1814
Mailing address
P.O. BOX 2663, ROWLETT, TX 75030
(972) 226-1015
(972) 226-1814
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
009288
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178755801
—
TX
Enumeration date
04/21/2009
Last updated
04/21/2009
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