Individual
MONICA MARIE JAVIER-REYNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
801 W 1ST ST, SAN JUAN, TX 78589
(956) 787-8915
(956) 787-2021
Mailing address
801 W 1ST ST, SAN JUAN, TX 78589-2276
(956) 787-8915
(956) 787-2021
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA08332
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
333496301
—
TX
01
—
343547YLAL
MEDICARE
TX
01
—
PA08332
LICENSE
TX
Enumeration date
04/11/2013
Last updated
09/04/2018
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