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Mr. Mark E. Reynolds, FNAP
Family Nurse Practitioner in Lubbock, Texas
NPI 1629069422

Mark E. Reynolds is a Family Nurse Practitioner based in Lubbock, TX and is specialized in Family. Mark E. Reynolds practices in Lubbock, TX and has the professional credentials of FNAP. The NPI Number for Mark E. Reynolds is 1629069422 and holds a License No. 566392 (Texas).

The current practice location address for Mark E. Reynolds is 3712 22Nd St, Lubbock, TX and can be reached out via phone at 806-795-5561 and via fax at 806-793-9817.

Location: 3712 22Nd St, Lubbock, TX, 79410-1312
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629069422
Provider Name
Mark E. Reynolds
Credential
FNAP
Provider Entity Type
Individual
Gender
Male
Address
3712 22Nd St, Lubbock, TX, 79410-1312
Phone Number
806-795-5561
Fax Number
806-793-9817
Provider Enumeration Date
10/31/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0074JY 01 TX BLUE CROSS BLUE SHIELD
148066702 05 TX
institution
Provider Business Practice Location Address Details
Address
3712 22Nd St
City
Lubbock
State
Texas
Zip
79410-1312
Phone Number
806-795-5561
Fax Number
806-793-9817
person
Provider Business Mailing Address Details
Address
3712 22Nd St
City
Lubbock
State
Texas
Zip
79410-1312
Phone Number
806-795-5561
Fax Number
806-793-9817
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
566392 (Texas)
Definition
Definition to come...
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