Provider Demographics
NPI:1609044437
Name:REESE GROUP
Entity Type:Organization
Organization Name:REESE GROUP
Other - Org Name:REESE MEDICAL & DIAGNOSTIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:C
Authorized Official - Last Name:REESE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:713-333-2618
Mailing Address - Street 1:7322 SW FWY
Mailing Address - Street 2:STE. 645
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-2010
Mailing Address - Country:US
Mailing Address - Phone:713-333-2618
Mailing Address - Fax:
Practice Address - Street 1:7322 SW FWY
Practice Address - Street 2:STE. 645
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-2010
Practice Address - Country:US
Practice Address - Phone:713-333-2618
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-14
Last Update Date:2008-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00Z294Medicare PIN