Provider Demographics
NPI:1962607374
Name:MCREYNOLDS, EDWARDS USHER (MD)
Entity type:Individual
Prefix:DR
First Name:EDWARDS
Middle Name:USHER
Last Name:MCREYNOLDS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1616 CASTLE CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-5708
Mailing Address - Country:US
Mailing Address - Phone:713-529-4643
Mailing Address - Fax:713-528-3650
Practice Address - Street 1:1640 NORFOLK ST # B
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-5229
Practice Address - Country:US
Practice Address - Phone:713-528-3430
Practice Address - Fax:713-528-3650
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD42252084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry