Provider Demographics
NPI:1821187832
Name:UNIVERSITY OB/GYN OF TEXAS, P.A.
Entity Type:Organization
Organization Name:UNIVERSITY OB/GYN OF TEXAS, P.A.
Other - Org Name:KEITH O. REEVES, M.D., P.A.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:O
Authorized Official - Last Name:REEVES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-797-9498
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2009-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD7268207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX190526701Medicaid
TX88HFOtherBCBS
TX88HFOtherBCBS