Healthcare Provider Details
I. General information
NPI: 1518061126
Provider Name (Legal Business Name): REEVES COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/12/2006
Last Update Date: 06/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2323 TEXAS ST
PECOS TX
79772-7338
US
IV. Provider business mailing address
2323 TEXAS ST
PECOS TX
79772-7338
US
V. Phone/Fax
- Phone: 432-447-3551
- Fax: 432-447-6809
- Phone: 432-447-3551
- Fax: 432-447-6809
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207PE0004X |
| Taxonomy | Emergency Medical Services (Emergency Medicine) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
FRANK
SEALS
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: CEO
Phone: 432-447-3551