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NPI Code Detail

MEDICARE: REAGAN STYRT PA-C

MEDICARE:   REAGAN  STYRT  PA-C
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
1363AM0700XMedical Physician AssistantPA15297TX

General Provider Information

NPI Number : 1295376325
Entity Type Code : Individual
Provider Name (Legal Business Name) : REAGAN STYRT PA-C
Provider Business Mailing Address
First Line : 2204 AUSTIN ST STE 200
Second Line :
City : HOUSTON
State : TX
Zip : 77002-8912
Country : US
Telephone Number : 713-640-5477
Fax Number : 713-640-5872
Provider Business Practice Location Address
First Line : 2204 AUSTIN ST STE 200
Second Line :
City : HOUSTON
State : TX
Zip : 77002-8912
Country : US
Telephone Number : 713-640-5477
Fax Number : 713-640-5872
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2019
Last Update Date : 08/23/2024

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Directions to “ REAGAN STYRT PA-C” Practice Location

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