Individual
MR. MARCUS A REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4351 RIDGEMONT DR STE A, ABILENE, TX 79606-8747
(254) 245-9175
(254) 213-7771
Mailing address
PO BOX 11538, KILLEEN, TX 76547-1538
(254) 245-9177
(254) 245-9178
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R40290
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132849408
—
TX
05
—
B0586
—
NM
01
—
NM006776
BCBS NEW MEXICO
NM
Enumeration date
06/28/2005
Last updated
08/11/2020
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