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General NPI Number Information
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NPI Number | 1275328080
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Entity Type | Organization
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Legal Business Name | REYES MED LLC
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Dates
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Enumeration Date | 04/11/2025
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 19620 KUYKENDAHL RD STE 140
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City | SPRING
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State | TX
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Zip | 77379-3456
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Country | US
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Telephone | 281-459-0399
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Fax | 281-459-0398
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Provider Business Mailing Address
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Address Line | 19620 KUYKENDAHL RD STE 140
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City | SPRING
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State | TX
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Zip | 77379-3456
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Country | US
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Telephone | 281-459-0399
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Fax | 281-459-0398
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Authorized Official
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Title or Position | FNP
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Name | ABEL CAMINO BENECH
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Credential | FNP
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Telephone | 281-459-0399
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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