MEDICARE: CYNTHIA REYES BARRON 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	207ZD0900X	Dermatopathology (Pathology) Physician	S8640	TX
2	390200000X	Student in an Organized Health Care Education/Training Program
3	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	S8640	TX

General Provider Information

NPI Number	:	1134576317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA REYES BARRON M.D.

Provider Business Mailing Address
First Line	:	1111 NIGHT HAWK DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79912-7607
Country	:	US
Telephone Number	:	915-274-7112
Fax Number	:

Provider Business Practice Location Address
First Line	:	1301 E RIVER AVE
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-4816
Country	:	US
Telephone Number	:	915-533-3000
Fax Number	:

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

Provider Enumeration Date	:	05/18/2016
Last Update Date	:	09/20/2021

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