Individual
DAVID REAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 YMCA DR, WAXAHACHIE, TX 75165-5124
(972) 938-7909
Mailing address
101 YMCA DR, WAXAHACHIE, TX 75165-5124
(972) 938-7909
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
H-1191
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131197907
—
TX
05
—
131197908
—
TX
05
—
153706003
—
TX
05
—
153706004
—
TX
01
—
8G6410
BCBS
TX
Enumeration date
02/14/2008
Last updated
03/06/2015
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