Organization
FRANK P REUTER JR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK P REUTER JR. M.D. (OWNER)
(903) 597-5579
Entity
Organization
Contact information
Practice address
712 S BOIS D ARC AVE, TYLER, TX 75701-1503
(903) 597-5579
(903) 597-5722
Mailing address
712 S BOIS D ARC AVE, TYLER, TX 75701-1503
(903) 597-5579
(903) 597-5722
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
E4629
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034143001
—
TX
01
—
1073821807
MEDICARE NPI
TX
Enumeration date
09/14/2010
Last updated
12/09/2013
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