Individual
RICHARD DALE REYNOLDS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 W HAUGE, STE 120, EL PASO, TX 79902
(915) 532-6662
(915) 532-6686
Mailing address
125 W HAUGE, STE 120, EL PASO, TX 79902
(915) 532-6662
(915) 532-6686
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
K7875
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8M0830
BLUE CROSS
TX
Enumeration date
03/01/2006
Last updated
07/08/2007
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