Individual
DR. ERIC JUSTIN REAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 N TENAYA WAY, LAS VEGAS, NV 89128-0436
(972) 915-3600
(972) 915-3636
Mailing address
9229 LBJ FWY, STE 250, DALLAS, TX 75243-3405
(800) 346-0747
(972) 739-2638
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
13237
NV
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
13237
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13237
NV MEDICAL LICENSE
NV
01
—
4301088469
MI MEDICAL LICENSE
MI
01
—
CS18224
NV PHARMACY CERTIFICATE
NV
Enumeration date
02/13/2008
Last updated
03/07/2023
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