DR. GARY EVERETT REISTER MD NPI 1437141116

NPI Information

NPI: 1437141116
Provider Name: DR. GARY EVERETT REISTER, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
2400 TRAWOOD DR
EL PASO, TX
ZIP 79936
Phone: (915) 577-8080
Get Directions

DR. Gary Everett Reister, MD is a diagnostic radiology radiology in El Paso, TX. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Gary Everett Reister, MD NPI is 1437141116. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2400 TRAWOOD DR
EL PASO, TX
ZIP 79936-122
Phone: (915) 577-8080
Fax: (915) 577-8086

The enumeration date for this NPI number is 8/18/2005 and was last updated on 8/12/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	E4054	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	C20990	MEDICARE UPIN	TEXAS
2	82R217	MEDICARE ID-TYPE UNSPECIFIED	TEXAS
3	124964102	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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