MEDICARE: REINNEY FERNANDEZ ESTRADA RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	1206540	TX

General Provider Information

NPI Number	:	1033003488
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REINNEY FERNANDEZ ESTRADA RN

Provider Business Mailing Address
First Line	:	2825 WILCREST DR STE 257
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77042-3526
Country	:	US
Telephone Number	:	281-867-6066
Fax Number	:

Provider Business Practice Location Address
First Line	:	2825 WILCREST DR STE 257
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77042-3526
Country	:	US
Telephone Number	:	281-867-6066
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2025
Last Update Date	:	05/23/2026

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