Healthcare Provider Details

I. General information

NPI: 1932947249
Provider Name (Legal Business Name): SONIA REYNA FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/19/2024
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 E SAVANNAH AVE STE 14A
MCALLEN TX
78503-1728
US

IV. Provider business mailing address

1200 E SAVANNAH AVE STE 14A
MCALLEN TX
78503-1728
US

V. Phone/Fax

Practice location:
  • Phone: 956-668-0974
  • Fax:
Mailing address:
  • Phone: 956-668-0974
  • Fax: 956-668-0751

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1168762
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: