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NPI Code Detail

MEDICARE: DR. ALFONSO ESTEBAN REYES M.D.

MEDICARE:  DR. ALFONSO ESTEBAN REYES  M.D.
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
1207Q00000XFamily Medicine PhysicianS0072TX

General Provider Information

NPI Number : 1225112659
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALFONSO ESTEBAN REYES M.D.
Provider Business Mailing Address
First Line : 943 WORTHINGTON WOODS LOOP RD
Second Line :
City : WORTHINGTON
State : OH
Zip : 43085-5743
Country : US
Telephone Number : 614-841-2420
Fax Number : 614-841-2427
Provider Business Practice Location Address
First Line : 20320 NORTHWEST FWY STE 500
Second Line :
City : JERSEY VILLAGE
State : TX
Zip : 77065-5644
Country : US
Telephone Number : 281-586-3888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2006
Last Update Date : 07/25/2019

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Directions to “ DR. ALFONSO ESTEBAN REYES M.D.” Practice Location

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