MEDICARE: DR. CHRISTOPHER LEROY REILLY MD

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
1	208600000X	Surgery Physician	K1290	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346298577
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER LEROY REILLY MD

Provider Business Mailing Address
First Line	:	4911 SANDHILL DR
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-5320
Country	:	US
Telephone Number	:	281-238-7870
Fax Number	:	281-633-4985

Provider Business Practice Location Address
First Line	:	22001 SOUTHWEST FWY STE 300
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77469-7001
Country	:	US
Telephone Number	:	281-497-0296
Fax Number	:	281-497-0825

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	11/30/2023

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