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
Fax: (915) 783-8187
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740453828 NPPES
Texas Other 080186A BLUE CROSS BLUESHIELD TX
Texas MEDICAID 094628703 BLUE CROSS BLUESHIELD TX

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