Active NPI
Laura Mariana Gonzalez Reyes, MD
- Internal Medicine Physician
- Odessa, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- V3866
- Practice address
- 701 W 5TH St
Odessa, TX 79763-4206 - Phone
- (432) 703-5375
- NPI assigned
- May 25, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | BP10080571 | TX | |
| Internal Medicine Physician | 207R00000X | V3866 | TX | Primary |
Addresses
Primary practice location
701 W 5TH St
Odessa, TX 79763-4206
Mailing address
701 W 5TH St
Odessa, TX 79763-4206
Phone (432) 703-5375
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 S Sunset Ave
Littlefield, TX 79339-4899
Phone (806) 385-6411
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10080571 | TX | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Oncology PA | Current | Accepting new patients | |
| Lamb Healthcare Center | Current | Accepting new patients | |
| Texas Oncology PA | Current | Accepting new patients | |
| Lamb Healthcare Center | Current | Accepting new patients | |
| Concord Medical Group of Texas PLLC | Current | Accepting new patients |
Locations
200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
1500 S Sunset Ave
Littlefield, TX 79339
Phone (806) 385-6411
400 Rosalind Redfern Grover Pkwy
Ste 100
Midland, TX 79701
Phone (432) 687-1949
701 W 5th St
Odessa, TX 79763
Phone (432) 335-2222
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1750790762
-
- General Acute Care Hospital
- Littlefield, TX
- NPI 1700854288
-
- Medical Oncology Physician
- El Paso, TX
- NPI 1811944101
-
- Rural Health Clinic/Center
- Olton, TX
- NPI 1912352584
-
- Medical Oncology Physician
- Pearland, TX
- NPI 1912174350
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Littlefield, TX
- NPI 1700854288
-
- General Acute Care Hospital
- Lubbock, TX
- NPI 1922001775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1639817000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 W 5TH ST",
"city": "ODESSA",
"state": "TX",
"postal_code": "797634206",
"telephone_number": "432-703-5375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 W 5TH ST",
"city": "ODESSA",
"state": "TX",
"postal_code": "797634206",
"telephone_number": "432-703-5375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ REYES",
"first_name": "LAURA",
"middle_name": "MARIANA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-25",
"last_updated": "2024-10-15",
"certification_date": "2024-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": "BP10080571",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "V3866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.