Provider Demographics
NPI:1518475342
Name:TX FIRST MEDICAL GROUP
Entity Type:Organization
Organization Name:TX FIRST MEDICAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:REECE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:850-293-6742
Mailing Address - Street 1:860 HEBRON PKWY STE 1201
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75057-5146
Mailing Address - Country:US
Mailing Address - Phone:972-808-7822
Mailing Address - Fax:
Practice Address - Street 1:860 HEBRON PKWY STE 1201
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75057-5146
Practice Address - Country:US
Practice Address - Phone:972-808-7822
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-15
Last Update Date:2018-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center