Provider Demographics
NPI:1518429638
Name:REYES, NOE (RN)
Entity Type:Individual
Prefix:MR
First Name:NOE
Middle Name:
Last Name:REYES
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19112 MILE 4 W
Mailing Address - Street 2:
Mailing Address - City:EDCOUCH
Mailing Address - State:TX
Mailing Address - Zip Code:78538-2128
Mailing Address - Country:US
Mailing Address - Phone:956-532-6584
Mailing Address - Fax:877-717-7229
Practice Address - Street 1:19112 MILE 4 W
Practice Address - Street 2:
Practice Address - City:EDCOUCH
Practice Address - State:TX
Practice Address - Zip Code:78538-2128
Practice Address - Country:US
Practice Address - Phone:956-532-6584
Practice Address - Fax:877-717-7229
Is Sole Proprietor?:No
Enumeration Date:2019-04-05
Last Update Date:2019-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX737098163WH1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH1000XNursing Service ProvidersRegistered NurseHospice