Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 58183 | MN |
N | 207X00000X | Orthopaedic Surgeon | N6610 | TX |
N | 207XS0106X | Orthopaedic Hand Surgeon | N6610 | TX |
N | 207XX0801X | Orthopaedic Trauma Surgeon | N6610 | TX |
Y | 2086S0105X | Surgery of the Hand | N6610 | TX |
NPI | 1811151962 |
---|---|
Provider Name | Dr. Lee M Reichel |
First Address | Austin, TX 78723-1142 |
Second Address | Austin, TX 78705-1010 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2008 |
Last Update Date | 04/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
214226705 | (05) | TX |
214226706 | (05) | TX |