MEDICARE: REAGAN HYLTON

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	101YP2500X	Professional Counselor	90693	TX
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	16923	TX

General Provider Information

NPI Number	:	1710713151
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REAGAN HYLTON

Provider Business Mailing Address
First Line	:	2500 E T C JESTER BLVD STE 280
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-1449
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 E T C JESTER BLVD STE 280
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-1449
Country	:	US
Telephone Number	:	281-845-3671
Fax Number	:

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

Provider Enumeration Date	:	09/11/2024
Last Update Date	:	02/10/2026

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Directions to “ REAGAN HYLTON ” Practice Location

Language	Start Address	Practice Location

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