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NPI Code Detail

MEDICARE: REIS ABOVE, LLC

MEDICARE: REIS ABOVE, LLC
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1174461735
Entity Type Code : Organization
Provider Name (Legal Business Name) : REIS ABOVE, LLC
Provider Business Mailing Address
First Line : 715 LIPSCOMB AVE
Second Line :
City : DALLAS
State : TX
Zip : 75214-4441
Country : US
Telephone Number : 469-500-8558
Fax Number :
Provider Business Practice Location Address
First Line : 715 LIPSCOMB AVE
Second Line :
City : DALLAS
State : TX
Zip : 75214-4441
Country : US
Telephone Number : 469-500-8558
Fax Number :
Authorized Official
Title or Position : FOUNDER / CEO
Name : MR. BLAKE REISMAN
Credential :
Telephone Number : 469-500-8558
Provider Enumeration Date : 03/24/2026
Last Update Date : 03/24/2026

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Directions to “REIS ABOVE, LLC ” Practice Location

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