MEDICARE: ADAM REYNOLDS MD

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	207RC0000X	Cardiovascular Disease Physician	R6882	TX
2	207UN0901X	Nuclear Cardiology Physician	R6882	TX
3	207R00000X	Internal Medicine Physician	57.021667	OH

General Provider Information

NPI Number	:	1851658900
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAM REYNOLDS MD

Provider Business Mailing Address
First Line	:	221 W COLORADO BLVD STE 831
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75208-2361
Country	:	US
Telephone Number	:	214-933-7430
Fax Number	:	214-947-8609

Provider Business Practice Location Address
First Line	:	221 W COLORADO BLVD STE 831
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75208-2361
Country	:	US
Telephone Number	:	214-933-7430
Fax Number	:	214-947-8609

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

Provider Enumeration Date	:	04/13/2012
Last Update Date	:	05/31/2026

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Directions to “ ADAM REYNOLDS MD” Practice Location

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