Individual
MR. RYAN S REEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1545 E SOUTHLAKE BLVD, SUITE 100, SOUTHLAKE, TX 76092
(817) 442-9300
(817) 416-0108
Mailing address
1545 E SOUTHLAKE BLVD, SUITE 100, SOUTHLAKE, TX 76092-6422
(817) 442-9300
(817) 796-0763
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
M0237
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X0137969
DPS
TX
Enumeration date
07/11/2006
Last updated
03/07/2023
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