Individual
DR. CARLOS ALFONSO REYES ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6431 FANNIN ST, MSB 5.111, HOUSTON, TX 77030-1501
(713) 500-6295
(713) 500-0706
Mailing address
7675 PHOENIX DR, APT 715, HOUSTON, TX 77030-4700
(409) 256-0290
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
44958
TX
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
71399
GA
Other
Enumeration date
06/27/2012
Last updated
04/19/2016
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