Provider Demographics
NPI:1568101434
Name:HARDY, REGINALD SR
Entity Type:Individual
Prefix:MR
First Name:REGINALD
Middle Name:
Last Name:HARDY
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P. O. BOX 769
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77487-0769
Mailing Address - Country:US
Mailing Address - Phone:713-728-1000
Mailing Address - Fax:713-785-8105
Practice Address - Street 1:22102 CASSINI CT
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-7185
Practice Address - Country:US
Practice Address - Phone:713-728-8100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-31
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX171W00000X, 172A00000X, 372600000X, 3747P1801X, 374U00000X
1744G0900X, 2472D0500X, 372500000X, 3747A0650X, 376J00000X, 3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No171W00000XOther Service ProvidersContractor
No172A00000XOther Service ProvidersDriver
No1744G0900XOther Service ProvidersSpecialistGraphics Designer
No2472D0500XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherDarkroom
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider
No374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker