Provider Demographics
NPI:1114135431
Name:REYNOLDS, BARBARA GAIL (RNFA, CNOR)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:GAIL
Last Name:REYNOLDS
Suffix:
Gender:F
Credentials:RNFA, CNOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5230 MEADOW CREST ST
Mailing Address - Street 2:
Mailing Address - City:LA PORTE
Mailing Address - State:TX
Mailing Address - Zip Code:77571-2817
Mailing Address - Country:US
Mailing Address - Phone:281-471-5610
Mailing Address - Fax:
Practice Address - Street 1:5230 MEADOW CREST ST
Practice Address - Street 2:
Practice Address - City:LA PORTE
Practice Address - State:TX
Practice Address - Zip Code:77571-2817
Practice Address - Country:US
Practice Address - Phone:281-471-5610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX673062163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant