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General NPI Number Information
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NPI Number | 1609871193
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Entity Type | Individual
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Provider Name | PAUL A REINHART P.A.
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Gender | Male
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Dates
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Enumeration Date | 06/20/2005
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Last Update Date | 05/16/2017
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Provider Practice Location Address
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Address Line | 4141 S. STAPLES SUITE 300
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City | CORPUS CHRISTI
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State | TX
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Zip | 78411-2929
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Country | US
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Telephone | 361-882-5560
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Fax | 361-882-6011
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Provider Business Mailing Address
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Address Line | 108 HAWTHORNE PL
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City | PORTLAND
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State | TX
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Zip | 78374-1428
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Country | US
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Telephone | 361-643-1742
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Fax | 361-643-1742
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA00040
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License Number State | TX
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