HOMER C. REYES, M.D., P.A.


Address: 111 Dallas St # C2, San Antonio, TX 78205-1201
Phone: 2102977520

HOMER C. REYES, M.D., P.A. (NPI# 1174796304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174796304
Entity Type Organization
Organization Name HOMER C. REYES, M.D., P.A.
Practice Address 111 Dallas St # C2
San Antonio
TX 78205-1201
Mailing Address 4115 Medical Drive
Suite 500
San Antonio
TX 78229-5638
Practice Telephone 2102977520
Practice Fax Number 2102970937
Mailing Telephone 2106151170
Mailing Fax Number 2106146996
Enumeration Date 2008-04-09
Last Update Date 2008-04-09
Authorized Official Name MRS. JOANNE CALDERA DE LA FUENTE (AUTHORIZED AGENT)
Authorized Official Telephone 2106151170
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist H2962 TX Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX MEDICARE RAILROAD 00198811 01

Office Location

Street Address 111 DALLAS ST # C2
City SAN ANTONIO
State TX
Zip Code 78205-1201

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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

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Competitor

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City SAN ANTONIO
Zip Code 78205

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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