Organization
REEVES MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NADINE C SMITH (HR DIRECTOR)
(432) 447-3551
Entity
Organization
Contact information
Practice address
2323 TEXAS ST, PECOS, TX 79772-7338
(432) 447-3551
(432) 447-5434
Mailing address
880 W DAGGETT ST STE 2, PECOS, TX 79772-6914
(432) 447-0077
(432) 447-0222
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145383902
—
TX
01
—
27NP
BLUE CROSS BLUE SHIELD
TX
01
—
CD8940
RAIL ROAD MEDICARE
TX
Enumeration date
02/21/2007
Last updated
10/22/2010
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