Julia Odom Reynolds in Fort Worth - Physician Assistant
Julia Odom Reynolds - NPI 1437345873
Julia Odom Reynolds is a Physician Assistant in Fort Worth, Texas. Julia Odom Reynolds practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Julia Odom Reynolds is 1437345873. The last update date is 2014-05-29.
Julia Odom Reynolds's current location address is 855 Montgomery St, Fort Worth, Texas. You can contact this provider via phone number 8177352660. The mailing address for Julia Odom Reynolds is 855 Montgomery St, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Julia Odom Reynolds |
|---|---|
| Address | 855 Montgomery St, Fort Worth, Texas |
| Phone Number | 8177352660 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1437345873 |
|---|---|
| Provider Enumeration Date | 2007-09-19 |
| Last Updated Date | 2014-05-29 |
Provider Mailing Address Detail
| Address | 855 Montgomery St |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761072553 |
| Phone Number | 8177352660 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA05348 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 327602401 | TX | -- | |
| 8703ND | TX | BCBS |
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What is the unique identification code assigned to Julia Odom Reynolds by the Centers for Medicare & Medicaid Services?
The Julia Odom Reynolds has been issued the NPI (National Provider Identifier) 1437345873. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Julia Odom Reynolds's physical address?
The Julia Odom Reynolds is physically located at 855 Montgomery St, in the city of Fort Worth, TX, with the postal code 761072553.
What is Julia Odom Reynolds's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Julia Odom Reynolds's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did Julia Odom Reynolds receive its 1437345873 assignment from the Centers for Medicare & Medicaid Services?
The Julia Odom Reynolds was assigned its 1437345873 on 2007-09-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Julia Odom Reynolds most recently updated or revised?
The details related to Julia Odom Reynolds, including its address, specialty, and other relevant information, were last updated or revised on 2014-05-29.
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