Provider Demographics
NPI:1861768855
Name:PAUL Q. REYNOLDS, M.D., PLLC
Entity type:Organization
Organization Name:PAUL Q. REYNOLDS, M.D., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:QUAYLE
Authorized Official - Last Name:REYNOLDS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-917-3497
Mailing Address - Street 1:7220 S CIMARRON RD
Mailing Address - Street 2:STE 230
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-2159
Mailing Address - Country:US
Mailing Address - Phone:702-853-4240
Mailing Address - Fax:702-818-1928
Practice Address - Street 1:7220 S CIMARRON RD
Practice Address - Street 2:STE 230
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-2159
Practice Address - Country:US
Practice Address - Phone:702-853-4240
Practice Address - Fax:702-818-1928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-24
Last Update Date:2013-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
14255207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty