Individual
DR. WILLIAM G. REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1340 E 7TH ST, ODESSA, TX 79761-4724
(432) 332-2663
(432) 337-0910
Mailing address
1340 E 7TH ST, ODESSA, TX 79760
(432) 332-2663
(432) 337-0910
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
J2755
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00026732
—
NM
05
—
110400202
—
TX
01
—
1222324100
SOUTHWEST LIFE HEALTH
TX
01
—
181001200
DEPT OF LABOR
TX
01
—
200033319
RAILROAD MCR
TX
01
—
5630582
AETNA
TX
01
—
83550G
BCBS
TX
01
—
MDJ2755
WORKMEN COMPENSATION
TX
Enumeration date
08/08/2006
Last updated
02/08/2010
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