Provider Demographics
NPI:1902238389
Name:REEVES, BARBARA MUDD (MD)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:MUDD
Last Name:REEVES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5117 WILLOW CREEK CIR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79932-2521
Mailing Address - Country:US
Mailing Address - Phone:915-581-3177
Mailing Address - Fax:
Practice Address - Street 1:5117 WILLOW CREEK CIR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79932-2521
Practice Address - Country:US
Practice Address - Phone:915-581-3177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-07
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF6369207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine