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Individual
MICAH REAVES
Active
Individual
MICAH REAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F05260451
TX
363LF0000X
Family Nurse Practitioner
Primary
1240939
TX
Other
Enumeration date
06/02/2026
Last updated
07/01/2026
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