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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 |
