Individual
DR. ANTONIO P REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2005 N JEFFERSON AVE, MT PLEASANT, TX 75455-2336
(903) 572-4381
(903) 572-9575
Mailing address
2005 N JEFFERSON AVE, MT PLEASANT, TX 75455-2336
(903) 572-4381
(903) 572-9575
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
F2876
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00FA63
BLUE CROSS OF TEXAS
TX
05
—
128148702
—
TX
01
—
751652471
FEDERAL TAX ID
TX
Enumeration date
08/01/2006
Last updated
07/08/2007
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