Basic Information
| Provider Information | |||||||||
| NPI: | 1457732265 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | REEVES | ||||||||
| FirstName: | MARIA | ||||||||
| MiddleName: | |||||||||
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| Credential: | ATP, QRP | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | ORTIZ | ||||||||
| OtherFirstName: | MARIA | ||||||||
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| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 1834 POST RD | ||||||||
| Address2: | |||||||||
| City: | NEW BRAUNFELS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 781302521 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8306091200 | ||||||||
| FaxNumber: | 8306091202 | ||||||||
| Practice Location | |||||||||
| Address1: | 1834 POST RD | ||||||||
| Address2: | |||||||||
| City: | NEW BRAUNFELS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 78130 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8306091200 | ||||||||
| FaxNumber: | 8306091202 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/17/2015 | ||||||||
| LastUpdateDate: | 02/26/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 247200000X | 85784 | TX | Y | Technologists, Technicians & Other Technical Service Providers | Technician, Other |
No ID Information.