Reyes, Marcus A

Reyes, Marcus A is an individual health care provider with primary practice located at 4351 Ridgemont Dr Ste A , Abilene TX 79606-8747. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Reyes, Marcus A can be contacted via phone (254) 245-9175.

Contact Information

Primary practice address
4351 Ridgemont Dr Ste A Abilene TX 79606-8747
Phone: (254) 245-9175
Fax: (254) 213-7771
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R40290 New Mexico

Profile Details

NPI number 1346246972
LBN Legal business name Reyes, Marcus A
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Aug 11th, 2020 - about 4 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 1346246972 NPPES
New Mexico MEDICAID B0586
New Mexico Other NM006776
New Mexico MEDICAID 132849408

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