MEDICARE: REYNA YU NP-BC

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	363LF0000X	Family Nurse Practitioner	1190372	TX

General Provider Information

NPI Number	:	1104621267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REYNA YU NP-BC

Provider Business Mailing Address
First Line	:	3634 STANDING ROCK DR
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77386-3452
Country	:	US
Telephone Number	:	936-933-8900
Fax Number	:

Provider Business Practice Location Address
First Line	:	1717 US 59 LOOP NORTH
Second Line	:
City	:	LIVINGSTON
State	:	TX
Zip	:	77351
Country	:	US
Telephone Number	:	936-329-8700
Fax Number	:

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

Provider Enumeration Date	:	02/13/2025
Last Update Date	:	06/07/2026

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