ELIZABETH MARIE REYNOLDS
NPI 1720721087
General Practice in Fort Sam Houston, TX

Active since April 15, 2022
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234(508) 450-3300 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 12, 2023, Aug 11, 2023, Apr 15, 2022 (3 updates tracked since 2022).

About Elizabeth Marie Reynolds NPPES

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

ELIZABETH MARIE REYNOLDS (NPI 1720721087) is an individual general practice provider in Fort Sam Houston, Texas, licensed in Virginia (0101280677) and active in the NPI registry since April 2022. She maintains a secondary practice location in Jbsa-lackland.

NPPES Registry Identity

NPI1720721087
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameELIZABETH MARIE REYNOLDS
Location Address3551 ROGER BROOKE DRFort Sam Houston, TX 78234-4504
Mailing Address3551 Roger Brooke DrFort Sam Houston, TX 78234-4504
Sole ProprietorNo
Enumeration DateApril 15, 2022
Last NPPES UpdateDecember 12, 20233 updates tracked since enumeration
NPPES CertifiedDecember 12, 2023
NPI 1720721087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in VA · 0101280677
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedMilitary Health Care ProviderTaxonomy 171000000X
3551 ROGER BROOKE DR, Fort Sam Houston, TX 78234

Secondary Practice Location 1

Location 159MDW/GE, 1100 Wilford Hall Loop Bldg 4554JBSA-Lackland, TX 78236 · Phone (508) 450-3300

Other Providers at the Same Location NPPES 20

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

Nurse Anesthetist, Certified Registered
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Physician Assistant
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234
Pediatrics (Pediatric Endocrinology)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Neurological Surgery
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Ophthalmology
3551 ROGER BROOKE DR
JBSA FORT SAM HOUSTON, TX 78234
Emergency Medicine (Emergency Medical Services)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234

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 Elizabeth Reynolds's NPI number?

The NPI number for Elizabeth Reynolds is 1720721087. It was assigned to this individual provider in the NPPES registry on April 15, 2022.

Where is Elizabeth Reynolds located?

Elizabeth Reynolds practices at 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234. The listed phone number is (508) 450-3300.

What is Elizabeth Reynolds's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Elizabeth Reynolds was last updated on December 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.