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General NPI Number Information
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NPI Number | 1538341276
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Entity Type | Organization
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Legal Business Name | PATRICK D REEVES MDPA
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Dates
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Enumeration Date | 12/05/2007
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 4315 28TH ST
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City | LUBBOCK
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State | TX
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Zip | 79410-2507
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Country | US
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Telephone | 806-792-2104
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Fax | 806-792-2134
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Provider Business Mailing Address
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Address Line | 4315 28TH ST
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City | LUBBOCK
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State | TX
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Zip | 79410-2507
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Country | US
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Telephone | 806-792-2104
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Fax | 806-792-2134
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Authorized Official
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Title or Position | OWNER
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Name | DR. PATRICK DARREN REEVES
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Credential | M.D.
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Telephone | 806-792-2104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | K6263
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License Number State | TX
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