Individual
ALICIA S REASONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1441 N BECKLEY AVE, DALLAS, TX 75203-1201
(214) 947-2385
(214) 947-2390
Mailing address
1441 N BECKLEY AVE, DALLAS, TX 75203-1201
(214) 947-2385
(214) 947-2390
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M5899
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191866605
—
TX
01
—
8EJ718
BCBS
TX
Enumeration date
06/01/2007
Last updated
08/13/2024
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