Organization
LUIS REINA MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DESIREE ORTIZ-CRUZ MD (OWNER)
(580) 248-1004
Entity
Organization
Contact information
Practice address
2701 SW A AVE, LAWTON, OK 73505-7123
(580) 248-1004
(580) 248-1108
Mailing address
PO BOX 6570, LAWTON, OK 73506-0570
(580) 248-1004
(580) 248-1108
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
OK
Other
Enumeration date
08/27/2006
Last updated
09/27/2007
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