Provider Demographics
NPI:1275684094
Name:REYES, KURT J (MD)
Entity Type:Individual
Prefix:DR
First Name:KURT
Middle Name:J
Last Name:REYES
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 1:6841 VIRGINIA PKWY STE 103
Mailing Address - Street 2:BOX 347
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-5716
Mailing Address - Country:US
Mailing Address - Phone:214-551-0308
Mailing Address - Fax:855-291-0972
Practice Address - Street 1:7300 ELDORADO PKWY STE 200
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-7896
Practice Address - Country:US
Practice Address - Phone:214-551-0308
Practice Address - Fax:855-291-0972
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2022-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR5927207R00000X, 207RB0002X, 2083B0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RB0002XAllopathic & Osteopathic PhysiciansInternal MedicineObesity Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No2083B0002XAllopathic & Osteopathic PhysiciansPreventive MedicineObesity Medicine