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General NPI Number Information
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NPI Number | 1992162762
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Entity Type | Organization
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Legal Business Name | SCOTT REIS, MD, PLLC
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Dates
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Enumeration Date | 01/25/2016
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 10622 BURNET RD STE 100
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City | AUSTIN
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State | TX
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Zip | 78758-4482
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Country | US
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Telephone | 254-723-8808
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Fax |
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Provider Business Mailing Address
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Address Line | 112 DOVE TAIL LN
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City | GEORGETOWN
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State | TX
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Zip | 78628-6919
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Country | US
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Telephone | 254-723-8808
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. SCOTT MICHAEL REIS
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Credential | MD
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Telephone | 254-723-8808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | Q5544
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License Number State | TX
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