Provider Demographics
NPI:1558793448
Name:REY, LUIS E (DMD)
Entity Type:Individual
Prefix:
First Name:LUIS
Middle Name:E
Last Name:REY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25757 WESTHEIMER PKWY
Mailing Address - Street 2:SUITE 160
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-7668
Mailing Address - Country:US
Mailing Address - Phone:832-437-8340
Mailing Address - Fax:
Practice Address - Street 1:25757 WESTHEIMER PKWY
Practice Address - Street 2:SUITE 160
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-7668
Practice Address - Country:US
Practice Address - Phone:832-437-8340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-02
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX29360122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist