Boon, John Reynolds

Boon, John Reynolds is an individual health care provider with primary practice located at 16651 Southwest Fwy Mob 1 Suite 310, Sugar Land TX 77479-2345. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Boon, John Reynolds can be contacted via phone (281) 565-1250.

Contact Information

Primary practice address
16651 Southwest Fwy Mob 1 Suite 310 Sugar Land TX 77479-2345
Phone: (281) 565-1250
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X N2957 Texas

Profile Details

NPI number 1013154384
LBN Legal business name Boon, John Reynolds
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2009
Last updated Feb 12th, 2014 - about 10 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 1013154384 NPPES
Texas Other 1813154384 BLUE CROSS BLUE SHIELD
Texas MEDICAID 280592101 BLUE CROSS BLUE SHIELD
Texas MEDICAID 280592102 BLUE CROSS BLUE SHIELD
Texas Other P01062995 BLUE CROSS BLUE SHIELD
Texas Other P00748658 BLUE CROSS BLUE SHIELD

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