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Individual

ISAIAH REEVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2240 GULF FWY S FL 4, LEAGUE CITY, TX 77573-5143
(832) 505-1234
Mailing address
1290 HERCULES AVE, HOUSTON, TX 77058-2749

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
U2992
TX
2083A0100X
Aerospace Medicine Physician
U2992
TX

Other

Enumeration date
05/08/2020
Last updated
01/29/2025
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