Organization
AUSTIN S. REEVES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUSTIN S. REEVES (PODIATRIST)
(903) 223-6000
Entity
Organization
Contact information
Practice address
4110 MCKNIGHT RD, TEXARKANA, TX 75503-0921
(903) 223-6000
(903) 223-6016
Mailing address
4110 MCKNIGHT RD, TEXARKANA, TX 75503-0921
(903) 223-6000
(903) 223-6016
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
178
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138703717
—
AR
Enumeration date
08/13/2008
Last updated
08/13/2008
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