Individual
DR. LEE CHAPPELL REAGOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6800 N MACARTHUR BLVD, IRVING, TX 75039-2422
(972) 969-2190
Mailing address
12221 MERIT DRIVE, 1610, DALLAS, TX 75251
(972) 803-1882
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M2038
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176430002
—
TX
05
—
176430003
—
TX
05
—
176430004
—
TX
01
—
8EG806
BCBS
TX
01
—
8S2681
BCBS
TX
01
—
8S5972
BCBS
TX
01
—
P00674963
MEDICARE RAILROAD
TX
Enumeration date
01/12/2006
Last updated
11/25/2015
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