Paul Reyes, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

L9870 Issued in TX

Practice address

177 N Ridge Road
Lone Star Pediatrics
McKinney, TX 75071-6962

Phone

(469) 591-1900

Fax

(866) 695-1347

NPI assigned

Apr 5, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Lone Star Pediatrics, PLLC

  • Pediatrics Physician
  • McKinney, TX
  • NPI 1073160297
  NPD Authorized official
• Physicians and Allied Health Professionals Group, PA

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1528011814

  Pediatrics

  NPD (past)
• Stonebridge Pediatrics

  • Pediatrics Physician
  • McKinney, TX
  • NPI 1760677538
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1689636631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 RIDGE ROAD",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "75071",
            "telephone_number": "469-388-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 N RIDGE ROAD",
            "address_2": "LONE STAR PEDIATRICS",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750716962",
            "telephone_number": "469-591-1900",
            "fax_number": "866-695-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L9870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Revive PCMS McKinney LLC
• Alicia Gregorios Reyes
• Antonio Reyes, DDS
• Cesar Augusto Reyes, M.D., P.A.
• Kurt J. Reyes, MD
• Angela Reynolds, FNP-BC
• Keyonah Reynolds, RBT
• Alexandra Reznitsky, O.D.
• Rheumcare LLC
• Belen Rhoades

• Pediatrics Physician in McKinney, TX
• Providers in McKinney, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.