Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TH0100X | Health Service | 22788 | TX |
NPI | 1639345218 |
---|---|
Provider Name | Dr. Robert E. Reichlin |
First Address | Bellaire, TX 77401-3006 |
Second Address | Bellaire, TX 77401-3006 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2008 |
Last Update Date | 05/05/2008 |