Provider Demographics
NPI:1083470496
Name:ENGLAND, REAGAN TENILLE
Entity Type:Individual
Prefix:
First Name:REAGAN
Middle Name:TENILLE
Last Name:ENGLAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11102 SALADO SPRINGS CIR
Mailing Address - Street 2:
Mailing Address - City:SALADO
Mailing Address - State:TX
Mailing Address - Zip Code:76571-5064
Mailing Address - Country:US
Mailing Address - Phone:903-490-4765
Mailing Address - Fax:
Practice Address - Street 1:3525 FM 2484
Practice Address - Street 2:
Practice Address - City:SALADO
Practice Address - State:TX
Practice Address - Zip Code:76571-6169
Practice Address - Country:US
Practice Address - Phone:254-947-7500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-23
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant