Provider Demographics
NPI:1881829166
Name:REINCKE, TONIE (MD)
Entity Type:Individual
Prefix:DR
First Name:TONIE
Middle Name:
Last Name:REINCKE
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 1:1111 HIGHWAY 6 STE 170
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4913
Mailing Address - Country:US
Mailing Address - Phone:586-350-4706
Mailing Address - Fax:888-814-0994
Practice Address - Street 1:1111 HIGHWAY 6 STE 170
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4913
Practice Address - Country:US
Practice Address - Phone:586-350-4706
Practice Address - Fax:888-814-0994
Is Sole Proprietor?:No
Enumeration Date:2009-05-15
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP80722085R0202X
MI43010878242085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology