MEDICARE: KURT STEPHEN REULAND M.D.

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	2085R0202X	Diagnostic Radiology Physician	J4473	TX
2	2085R0204X	Vascular & Interventional Radiology Physician	J4473	TX
3	2085N0700X	Neuroradiology Physician	J4473	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063472579
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KURT STEPHEN REULAND M.D.

Provider Business Mailing Address
First Line	:	700 OLYMPIC PLAZA CIR STE 910
Second Line	:
City	:	TYLER
State	:	TX
Zip	:	75701-1915
Country	:	US
Telephone Number	:	903-705-0072
Fax Number	:	903-705-0068

Provider Business Practice Location Address
First Line	:	700 OLYMPIC PLAZA CIR STE 910
Second Line	:
City	:	TYLER
State	:	TX
Zip	:	75701-1915
Country	:	US
Telephone Number	:	903-705-0072
Fax Number	:	903-705-0068

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

Provider Enumeration Date	:	03/27/2006
Last Update Date	:	06/12/2026

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Directions to “ KURT STEPHEN REULAND M.D.” Practice Location

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