Individual
MR. CHRISTIAN DAVID REISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1280 S MAIN ST STE 100, GRAPEVINE, TX 76051-7509
(817) 310-0898
(817) 310-5524
Mailing address
4314 SAN GABRIEL DR, DALLAS, TX 75229-4130
(214) 500-2829
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA12555
TX
Other
Enumeration date
11/26/2018
Last updated
02/18/2019
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