Organization
RICHARD GLENN REESE MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD G REESE MD (PHYSICIAN)
(432) 688-0031
Entity
Organization
Contact information
Practice address
709 W LOUISIANA AVE, MIDLAND, TX 79701-3248
(432) 688-0031
(432) 688-0035
Mailing address
709 W LOUISIANA AVE, MIDLAND, TX 79701-3248
(432) 688-0031
(432) 688-0035
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
F4418
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00214N
BCBS
TX
05
—
080157301
—
TX
05
—
134243801
—
TX
Enumeration date
04/13/2007
Last updated
04/28/2011
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