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Provider Information for 1437912060


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CHRISTINA REYES


Sex: Female

NPI: 1437912060
Last Updated: 2024-11-05
Certification Date: 2024-11-05

Details

NameValue
NPI1437912060
Enumeration Date2024-02-05
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 6455 DE ZAVALA RD APT 2203
SAN ANTONIO, TX 78249-3290
United States

Phone: 210-929-9583 | Fax:
 
Primary Practice Address 6455 DE ZAVALA RD APT 2203
SAN ANTONIO, TX 78249-3290
United States

Phone: 210-929-9583 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalTX91508