Reynolds, Rickey J

Reynolds, Rickey J is an individual health care provider with primary practice located at 400 Rosalind Redfern Grover Pkwy Ste 120 , Midland TX 79701-5849. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Reynolds, Rickey J can be contacted via phone (432) 221-3700.

Contact Information

Primary practice address
400 Rosalind Redfern Grover Pkwy Ste 120 Midland TX 79701-5849
Fax: (432) 685-0834
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 47762 Minnesota
Allopathic & Osteopathic Physicians / Neurology 2084N0400X J4474 Texas

Profile Details

NPI number 1316099153
LBN Legal business name Reynolds, Rickey J
Credentials MD PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Nov 30th, 2023 - about 2 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 1316099153 NPPES
Texas MEDICAID 1316099153
Texas MEDICAID 110523000
Texas MEDICAID 203416702
Texas Other 8TL498
Texas Other 8W6745
Texas Other 752616977052

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