Doctor Name: | DR. REAGAN MICHELLE STREET |
NPI Number: | 1487845673 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | N-3333 |
Business Practice Address: | 1001 12th Ave Suite 200 Fort Worth, TX - 761043926 |
Business Phone Number: | 8178502000 |
Business Fax Number: | 8178502015 |
Mailing Address: | Po Box 911230, DALLAS |
State: | TX |
Postal Code: | 753911230 |
Phone Number: | 9729978000 |
Fax Number: | 9722342987 |
NPI Enumeration Date: | 08/05/2007 |
NPI Last Update Date: | 10/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | N-3333 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |