MEDICARE: HOMER CALVIN 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
1	174400000X	Specialist	H2962	TX
2	2083P0011X	Undersea and Hyperbaric Medicine (Preventive Medicine) Physician	H2962	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00198811	OTHER	TX	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	00D64G	OTHER	TX	BLUE CROSS BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912015660
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOMER CALVIN REYES M.D.

Provider Business Mailing Address
First Line	:	14329 SAN PEDRO AVE
Second Line	:	STE C
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232-4389
Country	:	US
Telephone Number	:	210-494-2744
Fax Number	:	210-494-2866

Provider Business Practice Location Address
First Line	:	7930 FLOYD CURL DR
Second Line	:	SUITE 100
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3925
Country	:	US
Telephone Number	:	210-297-5520
Fax Number	:	210-297-0632

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

Provider Enumeration Date	:	08/25/2006
Last Update Date	:	07/25/2017

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Directions to “ HOMER CALVIN REYES M.D.” Practice Location

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