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NPI Code Detail

MEDICARE: MR. REGINALD HOWARD MSW

MEDICARE:  MR. REGINALD  HOWARD  MSW
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
11041C0700XClinical Social WorkerLCSW-669ID

General Provider Information

NPI Number : 1164403788
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. REGINALD HOWARD MSW
Provider Business Mailing Address
First Line : 24914 TWIN ARROWS
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78258-2749
Country : US
Telephone Number : 210-447-7347
Fax Number :
Provider Business Practice Location Address
First Line : COMMANDER, USA MEDCOM
Second Line : 2050 WORTH ROAD, SUITE 10, ATTN: MCHO-CL-H
City : SAN ANTONIO
State : TX
Zip : 78234-6010
Country : US
Telephone Number : 210-221-6499
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2005
Last Update Date : 07/08/2007

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Directions to “ MR. REGINALD HOWARD MSW” Practice Location

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