Reynolds, Mark W

Reynolds, Mark W is an individual health care provider with primary practice located at 6506 Redstone Ct , Arlington TX 76001-8108. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Reynolds, Mark W can be contacted via phone (817) 419-9799.

Contact Information

Primary practice address
6506 Redstone Ct Arlington TX 76001-8108
Phone: (817) 419-9799
Fax: (817) 419-9759
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 255647 Texas

Profile Details

NPI number 1558310813
LBN Legal business name Reynolds, Mark W
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2006
Last updated Mar 8th, 2009 - about 15 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 1558310813 NPPES
Texas MEDICAID 126073906
Texas Other 88808U
Texas Other 8F7780
Texas Other P00648400

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