Reeder, Desirae J

Reeder, Desirae J is an individual health care provider with primary practice located at 601 W Sanford St Ste 201, Arlington TX 76011-7086. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Reeder, Desirae J can be contacted via phone (817) 569-5350.

Contact Information

Primary practice address
601 W Sanford St Ste 201 Arlington TX 76011-7086
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X N8339 Texas
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X N8339 Texas

Profile Details

NPI number 1508139965
LBN Legal business name Reeder, Desirae J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2012
Last updated Jul 9th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508139965 NPPES
Texas Other 8DV700 BCBS
Texas MEDICAID 307125002 BCBS
Texas MEDICAID 307125003 BCBS

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