Poland, Reagan M

Poland, Reagan M is an individual health care provider with primary practice located at 4000 Spencer Hwy , Pasadena TX 77504-1202. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Poland, Reagan M can be contacted via phone (713) 359-2000.

Contact Information

Primary practice address
4000 Spencer Hwy Pasadena TX 77504-1202
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A95185 California
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X BP10034274 Texas
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X N7963 Texas

Profile Details

NPI number 1093870628
LBN Legal business name Poland, Reagan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2006
Last updated Apr 16th, 2014 - about 11 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 1093870628 NPPES
Texas Other 8CR667 BLUE CROSS/BLUE SHIELD
Texas MEDICAID 281829601 BLUE CROSS/BLUE SHIELD
Texas Other P01052485 BLUE CROSS/BLUE SHIELD
Texas MEDICAID 281829602 BLUE CROSS/BLUE SHIELD

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