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NPI Code Detail

MEDICARE: MR. REYNALDO D SARMIENTO MD PA

MEDICARE: MR. REYNALDO D SARMIENTO MD 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
1208600000XSurgery PhysicianE3102TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457358087
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. REYNALDO D SARMIENTO MD PA
Provider Business Mailing Address
First Line : 2001 N JEFFERSON AVE
Second Line : STE 120
City : MT PLEASANT
State : TX
Zip : 75455-2388
Country : US
Telephone Number : 903-572-8741
Fax Number : 903-577-0640
Provider Business Practice Location Address
First Line : 2001 N JEFFERSON AVE
Second Line : STE 120
City : MT PLEASANT
State : TX
Zip : 75455-2388
Country : US
Telephone Number : 903-572-8741
Fax Number : 903-577-0640
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2005
Last Update Date : 07/23/2008

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