MEDICARE: DR. GARY EVERETT REISTER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	E4054	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437141116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GARY EVERETT REISTER MD

Provider Business Mailing Address
First Line	:	200 S ALTO MESA DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79912-4426
Country	:	US
Telephone Number	:	915-833-6631
Fax Number	:	915-833-6618

Provider Business Practice Location Address
First Line	:	2400 TRAWOOD DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-4122
Country	:	US
Telephone Number	:	915-577-8080
Fax Number	:	915-577-8086

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	08/12/2010

Similar Medicare Providers

1518690577 — VETERANS HELPING SENIORS, LLC
Practice Location Address:

2400 TRAWOOD DR STE 104
EL PASO, TX
79936-4122

Practice Phone: 915-301-5012
Practice Fax: 915-277-3177

1124010012 — THOMAS CHARLES HOFFER MD
Practice Location Address:

2400 TRAWOOD DR
EL PASO, TX
79936-4122

Practice Phone: 915-577-8080
Practice Fax:

1053386763 — ERIC M GROSS MD
Practice Location Address:

2400 TRAWOOD DR STE 304
EL PASO, TX
79936-4122

Practice Phone: 915-591-8400
Practice Fax: 915-591-8401

1700993128 — SUN CITY PEDIATRICS, PA
Practice Location Address:

11160 LA QUINTA PLACE
EL PASO, TX
79936-4122

Practice Phone: 915-591-1494
Practice Fax: 915-598-0610

1467515940 — DR. RAMON A COLON-DORDAL M.D.
Practice Location Address:

11160 LA QUINTA PLACE
EL PASO, TX
79936-4122

Practice Phone: 915-591-1494
Practice Fax: 915-598-0610

1285798785 — DR. EVELYN GONZALEZ-MORALES M.D.
Practice Location Address:

11160 LA QUINTA PLACE
EL PASO, TX
79936-4122

Practice Phone: 915-591-1494
Practice Fax: 915-598-0610

Directions to “ DR. GARY EVERETT REISTER MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.