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
Phone: (432) 221-3700
Fax: (432) 685-0834
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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