Provider Demographics
NPI:1972277937
Name:TONIE REINCKE MD PLLC
Entity Type:Organization
Organization Name:TONIE REINCKE MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TONIE
Authorized Official - Middle Name:
Authorized Official - Last Name:REINCKE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:586-350-4706
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-03
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty