Provider Demographics
NPI:1740948629
Name:REYNOLDS, COURTNEY (MPH, CPH, NBC-HWC)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:
Last Name:REYNOLDS
Suffix:
Gender:F
Credentials:MPH, CPH, NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2310 MCDUFFIE ST APT A5
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77019-6541
Mailing Address - Country:US
Mailing Address - Phone:817-271-2743
Mailing Address - Fax:
Practice Address - Street 1:2310 MCDUFFIE ST APT A5
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77019-6541
Practice Address - Country:US
Practice Address - Phone:817-271-2743
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-07
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date: