MRS. AUDREY HELEN REYENGA


Address: 3650 Laurel St, Beaumont, TX 77707-2216
Phone: 4098380346

MRS. AUDREY HELEN REYENGA (NPI# 1972833085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972833085
Entity Type Individual
Full Name MRS. AUDREY HELEN REYENGA
Credential P.A.
Practice Address 3650 Laurel St
Beaumont
TX 77707-2216
Practice Telephone 4098380346
Practice Fax Number 4099244951
Mailing Telephone 4098380346
Mailing Fax Number 4099244951
Enumeration Date 2010-01-12
Last Update Date 2010-01-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3650 LAUREL ST
City BEAUMONT
State TX
Zip Code 77707-2216

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346224359 Sezefredo Paulo Depaiva Orthopaedic Surgery 3650 Laurel St, Beaumont, TX 77707-2216 2005-12-02
1316561715 Brittany Paige Ellis Registered Nurse 3650 Laurel St, Beaumont, TX 77707-2216 2020-06-01
1952865552 Katie C Holmes Registered Nurse 3650 Laurel St, Beaumont, TX 77707-2216 2019-01-28
1497239891 Kristen Bradley Registered Nurse 3650 Laurel St, Beaumont, TX 77707-2216 2018-09-20
1619454220 Traci Ann Rizk Registered Nurse 3650 Laurel St, Beaumont, TX 77707-2216 2018-07-26
1578076972 Jason Sikes Nurse Practitioner 3650 Laurel St, Beaumont, TX 77707-2216 2017-11-08
1639431661 Darryl Thomas Blalock Orthopaedic Surgery 3650 Laurel St, Beaumont, TX 77707-2216 2012-06-14
1447512843 Jeffrey Craig Humphrey Nurse Practitioner 3650 Laurel St, Beaumont, TX 77707-2216 2012-06-12
1679880785 Jessica Joanne Bobinger Specialist/Technologist, Other 3650 Laurel St, Beaumont, TX 77707-2216 2010-09-10
1417286261 Dee Ann Vines Licensed Vocational Nurse 3650 Laurel St, Beaumont, TX 77707-2216 2009-12-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437718004 Kelsey Marie Burt Speech-Language Pathologist 87 I-10, Beaumont, TX 77707 2019-06-07
1245898808 Primary Care Anywhere, Pllc Nurse Practitioner 4347 Phelan, Suite 101, Beaumont, TX 77707 2019-05-30
1598321663 Kacy Keitha Priddy Occupational Therapist 1846 I-10 S, Suite 102, Beaumont, TX 77707 2019-05-14
1144791963 Jeffery Ray Manzer Counselor 3350 Dowlen Rd Suite J, Beaumont, TX 77707 2018-12-06
1497247217 Haley Hebert Speech-Language Pathologist 87 I 10 N, Suite 225, Beaumont, TX 77707 2018-06-06
1548712383 Taylor Miguez Speech-Language Pathologist 87 I-10 Frontage Rd #225, Beaumont, TX 77707 2016-10-27
1720534043 Jacie Woodson Speech-Language Pathologist 87 I-10 Frontage Rd. 225, Beaumont, TX 77707 2016-08-28
1285187047 Paula Boudreaux Speech-Language Pathologist 87 I-10 Frontage Rd, Suite 225, Beaumont, TX 77707 2016-07-28
1790138568 Meagan Alyse Hartwick Speech-Language Pathologist 87 I-10 Frontage Rd., 225, Beaumont, TX 77707 2016-07-18
1376992578 Laurie Lynette Jansky Family Medicine 3650 Laurel Ave, Beaumont, TX 77707 2016-06-08
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376012021 Natalie Anne Polizopoulos-wilson Physician Assistant 4215 N Major Dr Apt 1712, Beaumont, TX 77713-9713 2018-11-23
1679625149 Jane Leskin Walston Physician Assistant 3420 Veterans Circle, Beaumont, TX 77707 2007-01-17
1053379768 Lui Kong Yap Physician Assistant 81 Highland Springs Ave, Ste.200, Beaumont, CA 92223 2006-05-02
1336493055 Brendan Andrew Dunlap Physician Assistant 3060 Fm 3514, Beaumont, TX 77705-7635 2012-11-02
1497966949 Jefferson Emergency Medicine Associates Pa Physician Assistant 2830 Calder St, Beaumont, TX 77702-1809 2007-05-25
1093852048 Katherine Demeritt Physician Assistant 3080 College St, Beaumont, TX 77701-4606 2007-01-31
1942365564 Shelby Odell Church Jr. Physician Assistant 6450 Folsom Dr, Beaumont Family Practice Associates, Beaumont, TX 77706-7269 2006-12-26
1508884362 Mary Elizabeth Ryan Physician Assistant 3420 Veterans Cir, Beaumont, TX 77707-2552 2006-07-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1831704576 Leila Olive Adell Physician Assistant 1221 S Congress Ave Apt 331, Austin, TX 78704-2461 2020-09-10
1619591864 Today Telemedicine Pllc Physician Assistant 404 Oxford St Apt 2219, Houston, TX 77007-2679 2020-06-03
1497384168 Gregory C Etienne Physician Assistant 7400 N 4th St, Mcallen, TX 78504-1859 2020-04-05
1689202475 Theodore Inthaphom Physician Assistant 25222 Northwest Fwy Apt 349, Cypress, TX 77429-1065 2020-03-29
1740816982 Alyssa Conrad Physician Assistant 4818 Star Jasmine Dr, Austin, TX 78723-6059 2020-03-19
1114558335 Erin Lynn Brown Physician Assistant 1504 Taub Loop Houston, Houston, TX 77030 2020-01-27
1245870930 Jessica Grimaldo Physician Assistant 1200 Brooklyn Ave Ste 230, San Antonio, TX 78212-0010 2020-01-09
1730728528 Holli Marie Beard Physician Assistant 2625 Scripture St Ste 101, Denton, TX 76201-2304 2019-12-27
1477191237 Ronald Edwin Brown Physician Assistant 1427 Cypress Point Dr, Gunter, TX 75058-3201 2019-12-11
1053957910 Rossalya Aracely Granda Gutierrez Physician Assistant 4150 N Collins St, Arlington, TX 76005-4547 2019-11-25
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Competitor

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City BEAUMONT
Zip Code 77707

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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