Madisen Lilley Reynard, NP
Family Medicine in Bridge City, TX. Individual provider (NPI-1).
NPI number1174285449
StatusActive
Last updated in NPPESOct 7, 2024
Details
- NPI
- 1174285449
- Entity type
- Individual (NPI-1)
- Name
- Madisen Lilley Reynard
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 13, 2021
- Certification date
- Oct 7, 2024
- Last updated
- Oct 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 1151442 | TX | Yes |
| 163W00000X | Registered Nurse | 930448 | TX |
Practice location
615 W Round Bunch RdBridge City, TX 77611-2434
Phone 409-735-7305 · Fax 888-972-9401
Mailing address
615 W Round Bunch RdBridge City, TX 77611-2434
Phone 409-735-7305 · Fax 888-972-9401
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Other Family Medicine Physician providers in Bridge City, TX
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- Servet M Satir, D.O.NPI 1467434522
- Wesley Palmer DO PANPI 1295804573
All 7 Family Medicine Physician providers in Bridge City · All 84 providers in Bridge City
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