Individual
GENE G REISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2001 N COLLINS BLVD, STE 103, RICHARDSON, TX 75080-2636
(972) 690-5374
(972) 690-6446
Mailing address
2001 N COLLINS BLVD, STE 103, RICHARDSON, TX 75080-2636
(972) 690-5374
(972) 690-6446
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DP1436
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018663701
—
TX
Enumeration date
09/22/2006
Last updated
08/12/2009
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