person
Michael J Reyes, PAC
Medical Physician Assistant in Tishomingo, Oklahoma
NPI 1801879838

Michael J Reyes is a Medical Physician Assistant based in Tulsa, OK and is specialized in Medical. Michael J Reyes practices in Tishomingo, OK and has the professional credentials of PAC. The NPI Number for Michael J Reyes is 1801879838 and holds a License No. 1474 (Oklahoma).

The current practice location address for Michael J Reyes is 817 E 6Th St, Tishomingo, OK and can be reached out via phone at 580-371-2392.

Location: 817 E 6Th St, Tishomingo, OK, 74106-5907
person
Provider Profile Details
NPI Number
1801879838
Provider Name
Michael J Reyes
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
817 E 6Th St, Tishomingo, OK, 74106-5907
Phone Number
580-371-2392
Fax Number
Provider Enumeration Date
11/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100768880F 05 OK
100768880I 05 OK
100768880J 05 OK
37-1803 01 OK MEDICARE
37-1832 01 OK MEDICARE
37-1834 01 OK MEDICARE
institution
Provider Business Practice Location Address Details
Address
817 E 6Th St
City
State
Zip
73460-1800
Phone Number
580-371-2392
Fax Number
person
Provider Business Mailing Address Details
Address
817 E 6Th St
City
State
Zip
73460-1800
Phone Number
580-371-2392
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1474 (Oklahoma)
Definition
Definition to come...
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