Reardon, Patrick Ray

Reardon, Patrick Ray is an individual health care provider with primary practice located at 6550 Fannin St Ste 2435 , Houston TX 77030. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Reardon, Patrick Ray can be contacted via phone (713) 790-3140.

Contact Information

Primary practice address
6550 Fannin St Ste 2435 Houston TX 77030
Phone: (713) 790-3140
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G5518 Texas

Profile Details

NPI number 1649270265
LBN Legal business name Reardon, Patrick Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Apr 22nd, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649270265 NPPES
Texas MEDICAID 134231308
Texas Other P01036906
Texas Other 8AC476
Texas Other 8AC476
Texas Other 8DY834
Texas Other 8G5880
Texas Other P00442979
Texas MEDICAID 134231309

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