Active NPI
Oscar Reynolds Jr., MD
- Family Medicine Physician
- Alice, TX
National Provider Identifier
1477671881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- J9544
- Practice address
- 700 Flournoy Rd
Suite 2a
Alice, TX 78332-4003 - Phone
- (361) 664-1417
- Fax
- (361) 664-3218
- NPI assigned
- Mar 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | J9544 | TX | Primary |
Addresses
Primary practice location
700 Flournoy Rd
Suite 2a
Alice, TX 78332-4003
Mailing address
204 E 1St St
Alice, TX 78332-4822
Phone (361) 664-0145
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1135006-02 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394150400000",
"number": "1477671881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 E 1ST ST",
"city": "ALICE",
"state": "TX",
"postal_code": "783324822",
"telephone_number": "361-664-0145",
"fax_number": "361-664-2248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 FLOURNOY RD",
"address_2": "SUITE 2A",
"city": "ALICE",
"state": "TX",
"postal_code": "783324003",
"telephone_number": "361-664-1417",
"fax_number": "361-664-3218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "OSCAR",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2014-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "J9544",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1135006-02",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Alice, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.