Organization
JAVIER G. REYES MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA SLADOVNIK (OFFICE MANAGER)
(210) 222-9131
Entity
Organization
Contact information
Practice address
811 N MAIN AVE, SAN ANTONIO, TX 78205-1107
(210) 222-9131
(210) 229-1148
Mailing address
811 N MAIN AVE, SAN ANTONIO, TX 78205-1107
(210) 222-9131
(210) 229-1148
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
E8844
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032466701
—
TX
Enumeration date
08/29/2013
Last updated
08/29/2013
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