Provider Demographics
NPI:1710578471
Name:GUY REYES MD PLLC
Entity Type:Organization
Organization Name:GUY REYES MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GUY
Authorized Official - Middle Name:EDMUND
Authorized Official - Last Name:REYES
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:773-620-7346
Mailing Address - Street 1:7994 VALLEY CRST
Mailing Address - Street 2:
Mailing Address - City:FAIR OAKS RANCH
Mailing Address - State:TX
Mailing Address - Zip Code:78015-4160
Mailing Address - Country:US
Mailing Address - Phone:773-620-7346
Mailing Address - Fax:
Practice Address - Street 1:7994 VALLEY CRST
Practice Address - Street 2:
Practice Address - City:FAIR OAKS RANCH
Practice Address - State:TX
Practice Address - Zip Code:78015-4160
Practice Address - Country:US
Practice Address - Phone:773-620-7346
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-26
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0004XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle SurgeryGroup - Single Specialty