Provider Demographics
NPI:1962621797
Name:REYES, ERNEST JAVIER (LPT)
Entity type:Individual
Prefix:MR
First Name:ERNEST
Middle Name:JAVIER
Last Name:REYES
Suffix:
Gender:M
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5151 KATY FWY
Mailing Address - Street 2:SUITE305
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-2260
Mailing Address - Country:US
Mailing Address - Phone:713-880-9500
Mailing Address - Fax:713-880-2434
Practice Address - Street 1:5151 KATY FWY
Practice Address - Street 2:SUITE305
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-2260
Practice Address - Country:US
Practice Address - Phone:713-880-9500
Practice Address - Fax:713-880-2434
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1045383174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist