Jackson Paul Reynolds Md Pllc | |
310 S Pecos St Coleman TX 76834-4159 | |
(325) 625-3533 | |
Not Available |
Full Name | Jackson Paul Reynolds Md Pllc |
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Speciality | Family Medicine |
Location | 310 S Pecos St, Coleman, Texas |
Authorized Official Name and Position | Jackson Reynolds (PHYSICIAN) |
Authorized Official Contact | 3252008996 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jackson Paul Reynolds Md Pllc Po Box 312 Coleman TX 76834-0312 Ph: (325) 200-8655 | Jackson Paul Reynolds Md Pllc 310 S Pecos St Coleman TX 76834-4159 Ph: (325) 625-3533 |
NPI Number | 1750062964 |
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Provider Enumeration Date | 07/31/2023 |
Last Update Date | 10/20/2023 |
Medicare PECOS PAC ID | 4486003456 |
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Medicare Enrollment ID | O20231215002004 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750062964 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Jackson P Reynolds |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710500509 PECOS PAC ID: 8022431824 Enrollment ID: I20221222000963 |
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Coleman Medical Associates Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 S Pecos St, 2nd Flr, Coleman, TX 76834 Phone: 325-625-3533 Fax: 325-625-3477 | |
J Paul Reynolds, Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 S Pecos St, 2nd Floor, Coleman, TX 76834 Phone: 325-625-3533 |