Individual
DR. JUSTIN H. REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6606 LBJ FWY, SUITE 200, DALLAS, TX 75240
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 715-5000
(972) 715-9976
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M3709
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186955401
—
TX
05
—
186955403
—
TX
01
—
8EY501
BCBS
TX
Enumeration date
05/14/2007
Last updated
05/05/2020
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