Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081P2900X | Pain Medicine | 201002098 | NC |
N | 2081P2900X | Pain Medicine | MD.020663 | LA |
Y | 2081P2900X | Pain Medicine | MD020663 | LA |
NPI | 1275521981 |
---|---|
Provider Name | Dr. Stephen G Rees |
First Address | Dallas, TX 75391-9229 |
Second Address | Lafayette, LA 70506-6765 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/10/2005 |
Last Update Date | 19/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1972126 | (05) | LA |
5916463 | (05) | NC |
E47536 | (02) | |
E47536 | (02) | LA |