Provider Demographics
NPI:1285953711
Name:RAYNALDO, GLYNDA JANE CAGAANAN (MD)
Entity type:Individual
Prefix:MRS
First Name:GLYNDA JANE
Middle Name:CAGAANAN
Last Name:RAYNALDO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:GLYNDA JANE
Other - Middle Name:DELIGERO
Other - Last Name:CAGA-ANAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2002 HOLCOMBE BLVD.
Mailing Address - Street 2:MCL-4A-330E
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-4298
Mailing Address - Country:US
Mailing Address - Phone:713-791-1414
Mailing Address - Fax:
Practice Address - Street 1:2002 HOLCOMBE BLVD.
Practice Address - Street 2:MCL-4A-330E
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4298
Practice Address - Country:US
Practice Address - Phone:713-791-1414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-24
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP6351207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine