Provider Demographics
NPI:1689649865
Name:THARAPPEL-JACOB, REENA ANTONY (MD)
Entity type:Individual
Prefix:
First Name:REENA
Middle Name:ANTONY
Last Name:THARAPPEL-JACOB
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16659 SOUTHWEST FWY STE 225
Mailing Address - Street 2:COMPREHENSIVE OBGYN & INFERTILITY CARE PLLC
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-2372
Mailing Address - Country:US
Mailing Address - Phone:713-578-3833
Mailing Address - Fax:281-201-2345
Practice Address - Street 1:16659 SOUTHWEST FWY STE 225
Practice Address - Street 2:COMPREHENSIVE OBGYN & INFERTILITY CARE PLLC
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2372
Practice Address - Country:US
Practice Address - Phone:713-578-3833
Practice Address - Fax:281-201-2345
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2015-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2837207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1808131-01Medicaid
TX8G6123Medicare PIN
TX8J4022Medicare PIN
TXI50605Medicare UPIN
TX8J0100Medicare PIN