P Praxis·MD
● Active Type 1 · Individual

Shane Douglas Reynal

Dermatology·Live Oak, TX· NPI 1831651181 · Enumerated 2019 · 7 years on NPI
Reynal is 1 of 5 dermatology providers in Live Oak and 1 of 1632 in Texas.
NPI age
7 years
Enumerated 2019-04-04
Primary specialty
Dermatology
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-08-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1632 active dermatology providers in Texas.

NPI age
7 years
↓ 9 yr below median (16 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
29% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-04Enumerated in NPPES
2019 2026

Where they practice

Practice location
7832 Pat Booker Rd
Live Oak, TX 782332601
📞 2106579338
Mailing address
7832 Pat Booker Rd
Live Oak, TX 782332601
📞 2106579338

Additional practice locations

1 secondary location on file with NPPES.

Location 2
Wake Forest Baptist Health Medical Center Blvd
Winston Salem, NC 271570001
📞 3367162011

Specialties

  • Dermatology Primary
    A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The...
    TX license #U2302 taxonomy 207N00000X

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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