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NPI Code Detail

MEDICARE: NATALIE REYNA NYREN PA

MEDICARE: NATALIE REYNA NYREN PA
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
1363A00000XPhysician AssistantPA06183TX

General Provider Information

NPI Number : 1205079639
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE REYNA NYREN PA
Provider Business Mailing Address
First Line : PO BOX 734812
Second Line :
City : DALLAS
State : TX
Zip : 75373-4812
Country : US
Telephone Number : 210-358-5100
Fax Number : 210-358-5157
Provider Business Practice Location Address
First Line : 701 S ZARZAMORA ST
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78207-5209
Country : US
Telephone Number : 210-644-3278
Fax Number : 210-702-6580
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2009
Last Update Date : 04/15/2026

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Directions to “ NATALIE REYNA NYREN PA” Practice Location

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