Provider Demographics
NPI:1629263025
Name:REESE, CINDY A (ARRT, CDT)
Entity Type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:A
Last Name:REESE
Suffix:
Gender:F
Credentials:ARRT, CDT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1614 SCRIPTURE ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-3837
Mailing Address - Country:US
Mailing Address - Phone:940-484-4874
Mailing Address - Fax:940-387-0838
Practice Address - Street 1:1614 SCRIPTURE ST
Practice Address - Street 2:SUITE 5
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-3837
Practice Address - Country:US
Practice Address - Phone:940-484-4874
Practice Address - Fax:940-387-0838
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-09
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX113812471B0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471B0102XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistBone Densitometry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXFTX148Medicare PIN
TXP00167502Medicare PIN