MEDICARE: REENA KUMAR MD

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	2084P0804X	Child & Adolescent Psychiatry Physician	R6600	TX
2	2084P0800X	Psychiatry Physician	R6600	TX

General Provider Information

NPI Number	:	1881022283
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REENA KUMAR MD

Provider Business Mailing Address
First Line	:	PO BOX 925003
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77292-5003
Country	:	US
Telephone Number	:	832-930-1202
Fax Number	:	832-304-6385

Provider Business Practice Location Address
First Line	:	1919 NORTH LOOP W STE 280
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-1368
Country	:	US
Telephone Number	:	832-930-1202
Fax Number	:	832-304-6385

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

Provider Enumeration Date	:	10/22/2013
Last Update Date	:	07/06/2020

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Directions to “ REENA KUMAR MD” Practice Location

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