Organization
DAVID W REAGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAUREN STANDERFER (OFFICE MANAGER)
(972) 938-7909
Entity
Organization
Contact information
Practice address
101 YMCA DR, WAXAHACHIE, TX 75165-5124
(972) 938-7909
(972) 938-2966
Mailing address
101 YMCA DR, WAXAHACHIE, TX 75165-5124
(972) 938-7909
(972) 938-2966
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
H1191
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131197907
—
TX
05
—
131197908
—
TX
05
—
180183901
—
TX
05
—
180183902
—
TX
Enumeration date
05/01/2007
Last updated
04/16/2018
Update your record
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