Provider Demographics
NPI:1508697822
Name:REYES-LESTER, MONIQUE DENISE (MSN, APRN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:MONIQUE
Middle Name:DENISE
Last Name:REYES-LESTER
Suffix:
Gender:F
Credentials:MSN, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:MONIQUE
Other - Middle Name:
Other - Last Name:REYES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1001 PAT BOOKER RD STE 100
Mailing Address - Street 2:
Mailing Address - City:UNIVERSAL CITY
Mailing Address - State:TX
Mailing Address - Zip Code:78148-4147
Mailing Address - Country:US
Mailing Address - Phone:830-285-1906
Mailing Address - Fax:
Practice Address - Street 1:1001 PAT BOOKER RD STE 100
Practice Address - Street 2:
Practice Address - City:UNIVERSAL CITY
Practice Address - State:TX
Practice Address - Zip Code:78148-4147
Practice Address - Country:US
Practice Address - Phone:830-285-1906
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-08
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1170337363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health