Individual
HEATHER REAGIN
Active
Individual
HEATHER REAGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
R5190
TX
207NS0135X
Procedural Dermatology Physician
R5190
TX
Other
Enumeration date
06/19/2014
Last updated
01/22/2024
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