Individual
MATTHEW SCOTT REAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
221 W COLORADO BLVD STE 525, DALLAS, TX 75208-2312
(214) 960-5681
(214) 960-5681
Mailing address
675 N HIGHLAND AVE NE APT 201, ATLANTA, GA 30306-4654
(330) 327-7840
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
80370
GA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
80370
GA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
U5213
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2015
Last updated
08/29/2023
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