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General NPI Number Information
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NPI Number | 1568211779
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Entity Type | Organization
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Legal Business Name | REYNA PSYCHIATRY PLLC
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Dates
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Enumeration Date | 05/20/2024
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Last Update Date | 08/07/2024
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Provider Practice Location Address
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Address Line | 3825 N 10TH ST STE A
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City | MCALLEN
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State | TX
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Zip | 78501-1780
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Country | US
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Telephone | 956-332-2643
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Fax |
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Provider Business Mailing Address
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Address Line | 808 S SHARY RD STE 5-303
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City | MISSION
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State | TX
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Zip | 78572-8568
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Country | US
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Telephone | 956-332-2643
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | DR. LORENA ELIZABETH REYNA
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Credential | MD
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Telephone | 956-332-2643
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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