Individual
JOSE R. REYES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5010 CRENSHAW RD, STE. #130, PASADENA, TX 77505-3047
(281) 991-2200
(281) 991-7700
Mailing address
PO BOX 5607, PASADENA, TX 77508-5607
(281) 991-2200
(281) 991-7700
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
J9299
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
J9299
TX
208VP0000X
Pain Medicine Physician
J9299
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
J9299
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004CG
MEDICARE PPMC GROUP #
TX
01
—
0046CC
MEDICARE RPK GROUP #
TX
01
—
00747Y
MEDICARE BEAUMONT GROUP #
TX
05
—
079696301
—
TX
05
—
080656401
—
TX
01
—
0A3441
MEDICARE BPMC GROUP #
TX
01
—
0A6286
MEDICARE PRINCIPLE GROUP #
—
05
—
115999802
—
TX
05
—
115999803
—
TX
05
—
115999804
—
TX
05
—
P080560G5
—
TX
Enumeration date
07/21/2006
Last updated
03/23/2012
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