Reynoso, Luis A

Reynoso, Luis A is an sole proprietor health care provider with primary practice located at 2401 N Ed Carey Dr Ste C, Harlingen TX 78550-8205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Reynoso, Luis A can be contacted via phone (956) 425-7800.

Contact Information

Primary practice address
2401 N Ed Carey Dr Ste C Harlingen TX 78550-8205
Fax: (956) 425-7801
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X K1637 Texas

Profile Details

NPI number 1063402741
LBN Legal business name Reynoso, Luis A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2005
Last updated Jan 28th, 2016 - about 8 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 1063402741 NPPES
Texas MEDICAID 101347602

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