MEDICARE: SERVE ALL MEDICAL ELGIN PLLC

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1427826288
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SERVE ALL MEDICAL ELGIN PLLC

Provider Business Mailing Address
First Line	:	706 W 11TH ST
Second Line	:
City	:	ELGIN
State	:	TX
Zip	:	78621-2047
Country	:	US
Telephone Number	:	512-229-3093
Fax Number	:

Provider Business Practice Location Address
First Line	:	706 W 11TH ST
Second Line	:
City	:	ELGIN
State	:	TX
Zip	:	78621-2047
Country	:	US
Telephone Number	:	512-229-3093
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	CASEY LEE REYNARD
Credential	:
Telephone Number	:	281-853-4794

Provider Enumeration Date	:	12/12/2023
Last Update Date	:	01/30/2026

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