TIMOTHY J REYNOLDS MD NPI 1376554691

NPI Information

NPI: 1376554691
Provider Name: TIMOTHY J REYNOLDS, MD
Classification: Internal Medicine - 207RI0011X
Entity Type: Individual

Specialization: Interventional Cardiology

Address:
508 MEDICAL CENTER BLVD
STE 200
CONROE, TX
ZIP 77304
Phone: (936) 760-4600
Get Directions

Timothy J Reynolds, MD is an interventional cardiology internal medicine in Conroe, TX. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. Timothy J Reynolds, MD NPI is 1376554691. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

508 MEDICAL CENTER BLVD
STE 200
CONROE, TX
ZIP 77304-808
Phone: (936) 760-4600
Fax: (936) 760-4601

The enumeration date for this NPI number is 8/11/2006 and was last updated on 11/15/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	K9159	TEXAS	No
2	174400000X	Specialist		K9159	TEXAS	No
3	207RI0011X	Internal Medicine	Interventional Cardiology	K9159	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8D6191	MEDICARE ID-TYPE UNSPECIFIED	TEXAS
2	094010801	OTHER	TEXAS	MEDICAID GROUP NUMBER
3	00J21A	OTHER	TEXAS	MEDICARE GROUP NUMBER
4	B30485	MEDICARE UPIN	TEXAS
5	8L12857	MEDICARE PIN	TEXAS
6	164601003	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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