Provider Demographics
NPI:1932130713
Name:REES, RICHARD (DPM)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:
Last Name:REES
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6565 WEST LOOP SOUTH
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-3505
Mailing Address - Country:US
Mailing Address - Phone:713-987-7791
Mailing Address - Fax:713-668-8500
Practice Address - Street 1:6565 WEST LOOP SOUTH
Practice Address - Street 2:SUITE 101
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-3505
Practice Address - Country:US
Practice Address - Phone:713-987-7791
Practice Address - Fax:713-668-8500
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2009-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0511213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8AJ426OtherBLUE CROSS BLUE SHIELD
TX8AJ426OtherBLUE CROSS BLUE SHIELD
8B3771Medicare PIN
TXP00118267Medicare ID - Type UnspecifiedMEDICARE RAILROAD