Provider Demographics
NPI:1871865584
Name:REESE, MYRIA BREANT (OD)
Entity Type:Individual
Prefix:DR
First Name:MYRIA
Middle Name:BREANT
Last Name:REESE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:17814 SPRING CYPRESS RD STE 105-B
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-1719
Mailing Address - Country:US
Mailing Address - Phone:281-255-0478
Mailing Address - Fax:281-255-0478
Practice Address - Street 1:17814 SPRING CYPRESS RD STE 105-B
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-1719
Practice Address - Country:US
Practice Address - Phone:281-255-0478
Practice Address - Fax:281-255-0478
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-27
Last Update Date:2012-04-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX7419TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist