Individual
DR. MAURICIO A REINOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD PA
Contact information
Practice address
16605 SOUTHWEST FWY, SUITE 310, SUGAR LAND, TX 77479-3501
(281) 980-1330
(281) 980-1330
Mailing address
16605 SOUTHWEST FWY, SUITE 310, SUGAR LAND, TX 77479-3501
(281) 980-1330
(281) 980-1330
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
J5877
TX
207RP1001X
Pulmonary Disease Physician
Primary
J5877
TX
207RS0012X
Sleep Medicine (Internal Medicine) Physician
J5877
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128603102
—
TX
01
—
8W6180
BLUE CROSS BLUE SHIELD
TX
Enumeration date
09/12/2005
Last updated
12/05/2013
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