=====================================================
General NPI Number Information
=====================================================
NPI Number | 1386552198
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BRIANA REYES FNP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/01/2026
-----------------------------------------------------
Last Update Date | 09/11/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10423 STATE HIGHWAY 151 STE 105
-----------------------------------------------------
City | SAN ANTONIO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78251-4768
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 210-742-6555
-----------------------------------------------------
Fax | 224-623-0079
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 12881 N IH 35
-----------------------------------------------------
City | LIVE OAK
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78233-2966
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 210-742-6555
-----------------------------------------------------
Fax | 224-623-0079
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 1123260
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------