Provider Demographics
NPI:1841633310
Name:REINOLD, STEFANI (MD)
Entity type:Individual
Prefix:
First Name:STEFANI
Middle Name:
Last Name:REINOLD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:STEFANI
Other - Middle Name:
Other - Last Name:HAWBAKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13062 W HWY 290 STE 112
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78737-8834
Mailing Address - Country:US
Mailing Address - Phone:512-270-1946
Mailing Address - Fax:
Practice Address - Street 1:13062 E HWY 290
Practice Address - Street 2:UNIT 112
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78737-7873
Practice Address - Country:US
Practice Address - Phone:512-270-1946
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-15
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR6265207PE0005X, 2084P0800X
VA01012586692084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No207PE0005XAllopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric Medicine