person
Elizabeth Marie Reynolds
General Practice Physician in Fort Sam Houston, Texas
NPI 1720721087

Elizabeth Marie Reynolds is a General Practice Physician based in Fort Sam Houston, TX. Elizabeth Marie Reynolds practices in Fort Sam Houston, TX. The NPI Number for Elizabeth Marie Reynolds is 1720721087 and holds a License No. (Texas).

The current practice location address for Elizabeth Marie Reynolds is 3551 Roger Brooke Dr, Fort Sam Houston, TX and can be reached out via phone at 508-450-3300.

Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX, 78234-4504
person
Provider Profile Details
NPI Number
1720721087
Provider Name
Elizabeth Marie Reynolds
Credential
Provider Entity Type
Individual
Gender
Female
Address
3551 Roger Brooke Dr, Fort Sam Houston, TX, 78234-4504
Phone Number
508-450-3300
Fax Number
Provider Enumeration Date
04/15/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3551 Roger Brooke Dr
City
State
Zip
78234-4504
Phone Number
508-450-3300
Fax Number
person
Provider Business Mailing Address Details
Address
3551 Roger Brooke Dr
City
State
Zip
78234-4504
Phone Number
508-450-3300
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
0101280677 (Virginia)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
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