Provider Demographics
NPI:1750329587
Name:REEVES, KEITH (MD)
Entity Type:Individual
Prefix:DR
First Name:KEITH
Middle Name:
Last Name:REEVES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6550 FANNIN ST
Mailing Address - Street 2:SUITE 2201
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2717
Mailing Address - Country:US
Mailing Address - Phone:713-797-9498
Mailing Address - Fax:713-797-0661
Practice Address - Street 1:6550 FANNIN ST
Practice Address - Street 2:SUITE 2201
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2717
Practice Address - Country:US
Practice Address - Phone:713-797-9498
Practice Address - Fax:713-797-0661
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXD 7268207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX123639007Medicaid
TX1750329587OtherBLUE CROSS BLUE SHIELD
TX123639006Medicaid
TXB25846Medicare UPIN
TXTXB112598Medicare PIN
TX123639007Medicaid