Provider Demographics
NPI:1710129457
Name:REYNA, ANNA MARIE (BUILDER/REMODLER)
Entity Type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:MARIE
Last Name:REYNA
Suffix:
Gender:F
Credentials:BUILDER/REMODLER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:327 CHERRY RDG
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78213-2940
Mailing Address - Country:US
Mailing Address - Phone:210-832-0585
Mailing Address - Fax:210-957-2772
Practice Address - Street 1:327 CHERRY RDG
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78213-2940
Practice Address - Country:US
Practice Address - Phone:210-832-0585
Practice Address - Fax:210-957-2772
Is Sole Proprietor?:No
Enumeration Date:2009-03-26
Last Update Date:2009-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32603171WH0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171WH0202XOther Service ProvidersContractorHome Modifications