MEDICARE: DR. MAURICIO A REINOSO 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
1	207RP1001X	Pulmonary Disease Physician	J5877	TX
2	207RS0012X	Sleep Medicine (Internal Medicine) Physician	J5877	TX
3	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	J5877	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	8W6180	OTHER	TX	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1972597474
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAURICIO A REINOSO MD PA

Provider Business Mailing Address
First Line	:	16605 SOUTHWEST FWY
Second Line	:	SUITE 310
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-3501
Country	:	US
Telephone Number	:	281-980-1330
Fax Number	:	281-980-1330

Provider Business Practice Location Address
First Line	:	16605 SOUTHWEST FWY
Second Line	:	SUITE 310
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-3501
Country	:	US
Telephone Number	:	281-980-1330
Fax Number	:	281-980-1330

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

Provider Enumeration Date	:	09/12/2005
Last Update Date	:	12/05/2013

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Directions to “ DR. MAURICIO A REINOSO MD PA” Practice Location

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