Provider Demographics
NPI:1669512141
Name:RICHARD REES DPM PA
Entity Type:Organization
Organization Name:RICHARD REES DPM PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:REES
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:713-987-7791
Mailing Address - Street 1:6565 WEST LOOP S
Mailing Address - Street 2:STE 101
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-3500
Mailing Address - Country:US
Mailing Address - Phone:713-987-7791
Mailing Address - Fax:
Practice Address - Street 1:6565 WEST LOOP S
Practice Address - Street 2:STE 101
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-3500
Practice Address - Country:US
Practice Address - Phone:713-850-7272
Practice Address - Fax:713-877-0970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0511213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXDB5436OtherRAILROAD MCR
TX8AJ426OtherBLUE CROSS BLUE SHIELD
TX150629702Medicaid
TX8AJ426OtherBLUE CROSS BLUE SHIELD
TXT15481Medicare UPIN
TX00201WMedicare PIN