Individual
DR. GARY EVERETT REISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 TRAWOOD DR, EL PASO, TX 79936-4122
(915) 577-8080
(915) 577-8086
Mailing address
200 S ALTO MESA DR, EL PASO, TX 79912-4426
(915) 833-6631
(915) 833-6618
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
E4054
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124964102
—
TX
Enumeration date
08/18/2005
Last updated
08/12/2010
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