MEDICARE: SHEILA R. REIFLE M.D.

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	J8735	TX

General Provider Information

NPI Number	:	1699984146
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEILA R. REIFLE M.D.

Provider Business Mailing Address
First Line	:	2318 PAT BOOKER RD.
Second Line	:
City	:	UNIVERSAL CITY
State	:	TX
Zip	:	78148
Country	:	US
Telephone Number	:	210-659-0323
Fax Number	:	210-659-7668

Provider Business Practice Location Address
First Line	:	2318 PAT BOOKER RD
Second Line	:
City	:	UNIVERSAL CITY
State	:	TX
Zip	:	78148
Country	:	US
Telephone Number	:	210-659-0323
Fax Number	:	210-659-7668

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	03/03/2009

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