Organization
ANTONIO REYES, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONIO REYES (PHYSICIAN/PRESIDENT)
(903) 572-4381
Entity
Organization
Contact information
Practice address
2005 N JEFFERSON AVE, MOUNT PLEASANT, TX 75455-2336
(903) 572-4381
(903) 572-9575
Mailing address
2005 N JEFFERSON AVE, MOUNT PLEASANT, TX 75455-2336
(903) 572-4381
(903) 572-9575
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
F-2876
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128148702
—
TX
Enumeration date
07/13/2016
Last updated
07/13/2016
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