MR. MARK E. REYNOLDS FNAP
NPI 1629069422
Nurse Practitioner - Family in Lubbock, TX

Active since October 31, 2005
3712 22ND ST, LUBBOCK, TX 79410(806) 795-5561(806) 793-9817 Get Directions Write a Review

NPPES record last updated: June 27, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Mark E. Reynolds Fnap NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MARK E. REYNOLDS FNAP (NPI 1629069422) is an individual family provider in Lubbock, Texas, licensed in Texas (566392) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1629069422
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. MARK E. REYNOLDSCredential: FNAP
Location Address3712 22ND STLubbock, TX 79410-1312
Mailing Address3712 22nd StLubbock, TX 79410-1312 · (806) 795-5561 · Fax (806) 793-9817
Fax(806) 793-9817
Sole ProprietorNo
Enumeration DateOctober 31, 2005
Last NPPES UpdateJune 27, 2008
NPI 1629069422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · 566392
3712 22ND ST, Lubbock, TX 79410

Other Identifiers 4

Medicare UPINS87577TX
Medicare PIN00573RTX
Medicaid148066702TX
Other0074JYTX · Blue Cross Blue Shield

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
3712 22ND ST
LUBBOCK, TX 79410
Internal Medicine (Gastroenterology)
3712 22ND ST
LUBBOCK, TX 79410

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Reynolds's NPI number?

The NPI number for Mark Reynolds is 1629069422. It was assigned to this individual provider in the NPPES registry on October 31, 2005.

Where is Mark Reynolds located?

Mark Reynolds practices at 3712 22nd St, Lubbock, TX 79410. The listed phone number is (806) 795-5561.

What is Mark Reynolds's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mark Reynolds was last updated on June 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.