Doctor Name: | ILA SOPHIE REYES |
NPI Number: | 1770726929 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D |
License Number: | 25885 |
Business Practice Address: | 2200 Bergquist Dr Suite 1 Lackland A F B, TX - 782369907 |
Business Phone Number: | 2102925188 |
Business Fax Number: | |
Mailing Address: | 2200 Bergquist Dr, Suite 1 LACKLAND A F B |
State: | TX |
Postal Code: | 782369907 |
Phone Number: | 2102925188 |
Fax Number: | |
NPI Enumeration Date: | 04/16/2009 |
NPI Last Update Date: | 05/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208000000X |
License Number: | 25885 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | |
Taxonomy Definition: | A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |