Jackson P Reynolds, MD | |
310 S Pecos St, Coleman, TX 76834-4159 | |
(325) 625-2135 | |
Not Available |
Full Name | Jackson P Reynolds |
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Gender | Male |
Speciality | Family Medicine |
Location | 310 S Pecos St, Coleman, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710500509 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | T2963 (Texas) | Primary |
Entity Name | Preferred Hospital Leasing Coleman Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275938714 PECOS PAC ID: 4789574724 Enrollment ID: O20040319000688 |
Entity Name | Jackson Paul Reynolds Md Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750062964 PECOS PAC ID: 4486003456 Enrollment ID: O20231215002004 |
Mailing Address | Practice Location Address |
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Jackson P Reynolds, MD 3601 4th Street Mail Stop 8143, Lubbock, TX 79430 Ph: () - | Jackson P Reynolds, MD 310 S Pecos St, Coleman, TX 76834-4159 Ph: (325) 625-2135 |
Jarrell Paul Reynolds, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 310 S Pecos St, 2nd Floor, Coleman, TX 76834 Phone: 325-625-3533 Fax: 325-625-3477 | |
Darron T Atwood, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 310 S Pecos St, 2nd Floor, Coleman, TX 76834 Phone: 325-625-3533 Fax: 325-625-3477 |