Provider Demographics
NPI:1437119542
Name:REYNARD, JENNIFER NICOLE (MD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:NICOLE
Last Name:REYNARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22326 SIERRA BLANCA
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78259-2634
Mailing Address - Country:US
Mailing Address - Phone:210-481-9889
Mailing Address - Fax:
Practice Address - Street 1:20821 N HWY 281
Practice Address - Street 2:SUITE 324
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-7593
Practice Address - Country:US
Practice Address - Phone:210-263-9443
Practice Address - Fax:210-263-9605
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2012-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM1316208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics