Active NPI
Antonio P Reyes, M.D.
- Obstetrics & Gynecology Physician
- Mount Pleasant, TX
National Provider Identifier
1740297993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- F2876
- Practice address
- 2005 N Jefferson Ave
Mt Pleasant, TX 75455-2336 - Phone
- (903) 572-4381
- Fax
- (903) 572-9575
- NPI assigned
- Aug 1, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | F2876 | TX | Primary |
Addresses
Primary practice location
2005 N Jefferson Ave
Mt Pleasant, TX 75455-2336
Mailing address
2005 N Jefferson Ave
Mt Pleasant, TX 75455-2336
Phone (903) 572-4381
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128148702 | Medicaid | TX | |
| 00FA63 | Other | TX | BLUE CROSS OF TEXAS |
| 751652471 | Other | TX | FEDERAL TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F2876 | TX | MD | Obstetrics & Gynecology Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Physician
- Mount Pleasant, TX
- NPI 1790138881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740297993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2005 N JEFFERSON AVE",
"city": "MT PLEASANT",
"state": "TX",
"postal_code": "754552336",
"telephone_number": "903-572-4381",
"fax_number": "903-572-9575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2005 N JEFFERSON AVE",
"city": "MT PLEASANT",
"state": "TX",
"postal_code": "754552336",
"telephone_number": "903-572-4381",
"fax_number": "903-572-9575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "ANTONIO",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "F2876",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "128148702",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF TEXAS",
"identifier": "00FA63",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL TAX ID",
"identifier": "751652471",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, TX
- Rehabme Mpleasant LLC (RehabMe)
- Renal Care Group Texas, Inc. (Mt. Pleasant Dialysis Center)
- Renewed Health Clinic PLLC
- Restorative Joint & Wellness Center
- Restore Health, PLLC
- Reynaldo D Sarmiento MD PA
- Dana Lynn Rice, M.D.
- Kathleen Anne Rice, FNP-C
- Laura R. Richardson, RD
- Rickey Joe Crane D.D.S., P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.