Provider Demographics
NPI:1649307943
Name:BAILEY, REYNALIN (APN)
Entity type:Individual
Prefix:MS
First Name:REYNALIN
Middle Name:
Last Name:BAILEY
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-4788
Mailing Address - Country:US
Mailing Address - Phone:432-978-1105
Mailing Address - Fax:432-333-3450
Practice Address - Street 1:421 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-4788
Practice Address - Country:US
Practice Address - Phone:281-357-1977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX670504374T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374T00000XNursing Service Related ProvidersReligious Nonmedical Nursing Personnel
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXQ66111Medicare UPIN