Provider Demographics
NPI:1205862638
Name:REESE, FLOYD CURTIS (MD)
Entity Type:Individual
Prefix:
First Name:FLOYD
Middle Name:CURTIS
Last Name:REESE
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 1:6927 SPANKY BRANCH CT
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-1450
Mailing Address - Country:US
Mailing Address - Phone:972-267-2571
Mailing Address - Fax:972-931-5119
Practice Address - Street 1:6927 SPANKY BRANCH CT
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75248-1450
Practice Address - Country:US
Practice Address - Phone:972-267-2571
Practice Address - Fax:972-931-5119
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD3375174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00F436Medicare ID - Type Unspecified
TXD67594Medicare UPIN