Timothy J Reynolds in Conroe - Specialist
Timothy J Reynolds - NPI 1376554691
Timothy J Reynolds is a Specialist in Conroe, Texas. Timothy J Reynolds practices all healthcare services and medical treatments related to Specialist. The NPI Number for Timothy J Reynolds is 1376554691. The last update date is 2012-11-15.
Timothy J Reynolds's current location address is 508 Medical Center Blvd, Conroe, Texas. You can contact this provider via phone number 9367604600 and fax number 9367604601. The mailing address for Timothy J Reynolds is 508 Medical Center Blvd, Conroe, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy J Reynolds |
|---|---|
| Address | 508 Medical Center Blvd, Conroe, Texas |
| Phone Number | 9367604600 |
| Fax Number | 9367604601 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1376554691 |
|---|---|
| Provider Enumeration Date | 2006-08-11 |
| Last Updated Date | 2012-11-15 |
Provider Mailing Address Detail
| Address | 508 Medical Center Blvd |
|---|---|
| City | Conroe |
| State | Texas (TX) |
| Post Code | 773042808 |
| Phone Number | 9367604600 |
| Fax Number | 9367604601 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | K9159 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 94010801 | TX | MEDICAID GROUP NUMBER | |
| 164601003 | TX | -- | |
| 00J21A | TX | MEDICARE GROUP NUMBER |
Post Comment/ Review Below
What is the Timothy J Reynolds's 1376554691?
The Timothy J Reynolds's NPI (National Provider Identifier) Number is 1376554691. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Timothy J Reynolds?
The Timothy J Reynolds is situated at 508 Medical Center Blvd, in the city of Conroe, state of TX, with the zip code 773042808.
What is Timothy J Reynolds's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Timothy J Reynolds is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date was the 1376554691 assigned to Timothy J Reynolds?
The Timothy J Reynolds was issued its 1376554691 on 2006-08-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Timothy J Reynolds most recently updated or refreshed?
The details pertaining to the Timothy J Reynolds, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-11-15.