| Doctor Name: | SALLY DYAN REESE |
| NPI Number: | 1538463559 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 733409 |
| Business Practice Address: | 902 Crystal Falls Pkwy Leander, TX - 786413646 |
| Business Phone Number: | 5122592222 |
| Business Fax Number: | 5122592290 |
| Mailing Address: | 902 Crystal Falls Pkwy, LEANDER |
| State: | TX |
| Postal Code: | 786413646 |
| Phone Number: | 5122592222 |
| Fax Number: | 5122592290 |
| NPI Enumeration Date: | 01/05/2011 |
| NPI Last Update Date: | 02/25/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 733409 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |