Reynolds, David Glenn

Reynolds, David Glenn is an individual health care provider with primary practice located at 600 E Taylor St Suite 103, Sherman TX 75090-2881. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Reynolds, David Glenn can be contacted via phone (903) 893-7170.

Contact Information

Primary practice address
600 E Taylor St Suite 103 Sherman TX 75090-2881
Phone: (903) 893-7170
Fax: (903) 893-4372
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X H6541 Texas
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X H6541 Texas

Profile Details

NPI number 1801894365
LBN Legal business name Reynolds, David Glenn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Nov 27th, 2012 - about 13 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 1801894365 NPPES
Oklahoma Other 100146190A OKLAHOMA MEDICAID
Oklahoma MEDICAID 1736996 OKLAHOMA MEDICAID
Oklahoma MEDICAID 185865601 OKLAHOMA MEDICAID
Oklahoma MEDICAID 1668535-01 OKLAHOMA MEDICAID
Oklahoma MEDICAID 200118650A OKLAHOMA MEDICAID
Oklahoma Other 00K55R OKLAHOMA MEDICAID
Oklahoma Other 4333749 OKLAHOMA MEDICAID
Oklahoma Other P00025103 OKLAHOMA MEDICAID
Oklahoma Other 241430304 OKLAHOMA MEDICAID

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