Individual
AUSTIN REEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D P M
Contact information
Practice address
4110 MCKNIGHT RD, TEXARKANA, TX 75503-0921
(903) 223-6000
(903) 223-6016
Mailing address
4110 MCKNIGHT RD, TEXARKANA, TX 75503-0921
(903) 223-6000
(903) 223-6016
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
1369
TX
213E00000X
Podiatrist
Primary
178
AR
213E00000X
Podiatrist
P0002214
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018713001
—
TX
05
—
154545748
—
AR
Enumeration date
06/27/2005
Last updated
04/01/2013
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