Provider Demographics
NPI:1932896842
Name:COUNTY OF REEVES
Entity Type:Organization
Organization Name:COUNTY OF REEVES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REEVES COUNTY JUDGE
Authorized Official - Prefix:
Authorized Official - First Name:LEO
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-287-0222
Mailing Address - Street 1:100 E 4TH ST STE 104A
Mailing Address - Street 2:
Mailing Address - City:PECOS
Mailing Address - State:TX
Mailing Address - Zip Code:79772-4050
Mailing Address - Country:US
Mailing Address - Phone:432-287-0222
Mailing Address - Fax:
Practice Address - Street 1:1288 W. EASTERBROOK DR.
Practice Address - Street 2:
Practice Address - City:PECOS
Practice Address - State:TX
Practice Address - Zip Code:79772
Practice Address - Country:US
Practice Address - Phone:432-287-0422
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF REEVES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-04-20
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy