Provider Demographics
NPI:1063891794
Name:REYS, BRIAN (MS, CGC)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:
Last Name:REYS
Suffix:
Gender:M
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2425 VICTORY AVE
Mailing Address - Street 2:APT 343
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-7652
Mailing Address - Country:US
Mailing Address - Phone:614-264-9401
Mailing Address - Fax:
Practice Address - Street 1:2201 INWOOD DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-9323
Practice Address - Country:US
Practice Address - Phone:866-460-4673
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-27
Last Update Date:2015-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHGC000481170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS