Provider Demographics
NPI:1891844775
Name:RENO, SHERINE E (MD)
Entity Type:Individual
Prefix:
First Name:SHERINE
Middle Name:E
Last Name:RENO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:PO BOX 863268
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75086-3268
Mailing Address - Country:US
Mailing Address - Phone:214-342-0400
Mailing Address - Fax:214-342-0406
Practice Address - Street 1:17430 CAMPBELL RD STE E114
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75252-5212
Practice Address - Country:US
Practice Address - Phone:214-342-0400
Practice Address - Fax:214-342-0406
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ81892081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8A1962OtherBCBS OF TX
TXG52263Medicare UPIN