Individual
MR. JOHN REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
27273 FM 2090 RD, SPLENDORA, TX 77372-4632
(832) 226-6556
Mailing address
27273 FM 2090 RD, SPLENDORA, TX 77372-4632
(832) 226-6556
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
3781-3782
TX
Other
Enumeration date
12/12/2014
Last updated
12/12/2014
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