Organization
PATRICK D REEVES MDPA
Active
Other names
Wilson Surgicenter
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK DARREN REEVES MD (OWNER)
(806) 792-2104
Entity
Organization
Contact information
Practice address
4315 28TH STREET, SUITE 2, LUBBOCK, TX 79410
(806) 792-2104
(806) 792-2134
Mailing address
4315 28TH STREET, SUITE 2, LUBBOCK, TX 79410
(806) 792-2104
(806) 792-2134
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
007928
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159707201
—
TX
Enumeration date
10/17/2006
Last updated
06/30/2008
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