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Dr. Mauricio A Reinoso

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NPI Number Detailed Information

Provider Information:

Name: Dr. Mauricio A Reinoso
Gender: M
Provider License Number If Given: J5877

NPI Information:

NPI: 1972597474
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 12/5/2013

Provider Business Mailing Address:

Address: 16605 SOUTHWEST FWY SUITE 310
Sugar Land, TX 77479
Phone Number: 2819801330
Fax Number: 2819801330

Provider Business Practice Location Address:

Address: 16605 SOUTHWEST FWY SUITE 310
Sugar Land, TX 77479
Phone Number: 2819801330
Fax Number: 2819801330

Provider Taxonomy:

Primary: 207RC0200X
Secondary (if any): 207RP1001X
State: TX

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