Reynolds, Brian W.
Reynolds, Brian W. is an individual health care provider with primary practice located at 11950 Bob Mitchell Dr , El Paso TX 79936-4553. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Reynolds, Brian W. can be contacted via phone (915) 856-5760.Contact Information
Primary practice address
11950 Bob Mitchell Dr
El Paso TX 79936-4553
Phone: (915) 856-5760
Fax: (915) 783-8187
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 50733 | Texas |
Profile Details
| NPI number | 1740453828 |
|---|---|
| LBN Legal business name | Reynolds, Brian W. |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2008 |
| Last updated | Apr 9th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740453828 | NPPES |
| Texas | Other | 080186A | BLUE CROSS BLUESHIELD TX |
| Texas | MEDICAID | 094628703 | BLUE CROSS BLUESHIELD TX |
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