Provider Demographics
NPI:1669837191
Name:REEH, SAMANTHA (CPNP-PC, APRN)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:REEH
Suffix:
Gender:F
Credentials:CPNP-PC, APRN
Other - Prefix:
Other - First Name:SAMANTHA
Other - Middle Name:
Other - Last Name:KLINGES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PNP-PC
Mailing Address - Street 1:19238 STONEHUE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-3447
Mailing Address - Country:US
Mailing Address - Phone:210-494-2223
Mailing Address - Fax:210-941-0142
Practice Address - Street 1:14855 BLANCO RD STE 400
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-7731
Practice Address - Country:US
Practice Address - Phone:210-492-0900
Practice Address - Fax:210-492-0977
Is Sole Proprietor?:No
Enumeration Date:2015-12-29
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP129914363L00000X
TX742812363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics