Provider Demographics
NPI:1093115081
Name:REYES-CONTIN, INDIRA SOFIA (MD)
Entity Type:Individual
Prefix:DR
First Name:INDIRA
Middle Name:SOFIA
Last Name:REYES-CONTIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:INDIRA
Other - Middle Name:SOFIA
Other - Last Name:REYES-CONTIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:22430 GRAND CORNER DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-5718
Mailing Address - Country:US
Mailing Address - Phone:281-371-1980
Mailing Address - Fax:281-371-1985
Practice Address - Street 1:22430 GRAND CORNER DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-5718
Practice Address - Country:US
Practice Address - Phone:281-371-1980
Practice Address - Fax:281-371-1985
Is Sole Proprietor?:No
Enumeration Date:2014-08-27
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT5197207Q00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program