| Frank P Reuter Jr Md Pa | |
|
712 S Bois D Arc Ave Tyler TX 75701-1503 | |
| (903) 597-5579 | |
| (903) 597-5722 |
| Full Name | Frank P Reuter Jr Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 712 S Bois D Arc Ave, Tyler, Texas |
| Authorized Official Name and Position | Frank P Reuter (OWNER) |
| Authorized Official Contact | 9035975579 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Frank P Reuter Jr Md Pa 712 S Bois D Arc Ave Tyler TX 75701-1503 Ph: (903) 597-5579 | Frank P Reuter Jr Md Pa 712 S Bois D Arc Ave Tyler TX 75701-1503 Ph: (903) 597-5579 |
| NPI Number | 1073821807 |
|---|---|
| Provider Enumeration Date | 09/14/2010 |
| Last Update Date | 12/09/2013 |
| Medicare PECOS PAC ID | 4880889997 |
|---|---|
| Medicare Enrollment ID | O20101115001281 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073821807 | NPI | - | NPPES |
| 1073821807 | Other | TX | MEDICARE NPI |
| 034143001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | E4629 (Texas) | Primary |
| Provider Name | Frank P Reuter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144290412 PECOS PAC ID: 9931394046 Enrollment ID: I20101115001325 |
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