Individual
DR. REBECCA JEAN REILLY-NIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
12705 RIO BRAVO ST, ROSHARON, TX 77583-4073
(281) 369-7064
(281) 369-7073
Mailing address
12705 RIO BRAVO ST, ROSHARON, TX 77583-4073
(832) 526-7567
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1618
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0927915-01
—
TX
Enumeration date
10/06/2005
Last updated
10/09/2013
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