Organization Name: | HOMER C. REYES, M.D., P.A. |
NPI Number: | 1174796304 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOANNE CALDERA DE LA FUENTE (AUTHORIZED AGENT) |
Mailing Address: | 111 Dallas St # C2 San Antonio |
State: | TX US |
Postal Code: | 782051201 |
Phone Number: | 2102977520 |
Fax Number: | 2102970937 |
NPI Enumeration Date: | 04/09/2008 |
NPI Last Update Date: | 04/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | H2962 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |