Provider Demographics
NPI:1629074984
Name:REESE, DEBBIE PARCHMAN (MD)
Entity Type:Individual
Prefix:
First Name:DEBBIE
Middle Name:PARCHMAN
Last Name:REESE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 N M ST
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79701-6554
Mailing Address - Country:US
Mailing Address - Phone:432-684-5541
Mailing Address - Fax:432-682-4072
Practice Address - Street 1:307 N M ST
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79701-6554
Practice Address - Country:US
Practice Address - Phone:432-684-5541
Practice Address - Fax:432-682-4072
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-22
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF4417208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
E80414Medicare UPIN