# SANTIAGO REYES, M.D., INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073793741
- **Authorized official:** DR. SANTIAGO REYES MD (PRESIDENT)
- **Authorized official phone:** (405) 945-4495

## Contact information

- **Practice address:** 3366 NW EXPRESSWAY, SUITE 330, OKLAHOMA CITY, OK 73112-4462
- **Practice address phone:** (405) 945-4495
- **Practice address fax:** (405) 945-4376
- **Mailing address:** 3366 NW EXPRESSWAY, SUITE 330, OKLAHOMA CITY, OK 73112-4462
- **Mailing address phone:** (405) 945-4495
- **Mailing address fax:** (405) 945-4376

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 11652 | OK | Yes |

## Other

- **Enumeration date:** 11/09/2007
- **Last updated:** 04/02/2015
