Provider Demographics
NPI:1104829324
Name:REEVES, JAMES FRANKLIN (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:FRANKLIN
Last Name:REEVES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 RED RIVER ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-3245
Mailing Address - Country:US
Mailing Address - Phone:512-477-5905
Mailing Address - Fax:512-477-8640
Practice Address - Street 1:3100 RED RIVER ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-3245
Practice Address - Country:US
Practice Address - Phone:512-477-5905
Practice Address - Fax:512-477-8640
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2016-11-30
Deactivation Date:2009-11-10
Deactivation Code:
Reactivation Date:2016-11-30
Provider Licenses
StateLicense IDTaxonomies
TXC8417208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8457B6Medicare ID - Type UnspecifiedPIN
TXC20962Medicare UPIN