Provider Demographics
NPI:1356437990
Name:REYES, VERNON E (DPM)
Entity type:Individual
Prefix:DR
First Name:VERNON
Middle Name:E
Last Name:REYES
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 79352
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77279-9352
Mailing Address - Country:US
Mailing Address - Phone:832-341-8790
Mailing Address - Fax:713-461-3610
Practice Address - Street 1:603 WYCLIFFE DR
Practice Address - Street 2:STE B
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-3507
Practice Address - Country:US
Practice Address - Phone:713-722-0136
Practice Address - Fax:713-722-0137
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2019-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1765213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX612405Medicare ID - Type UnspecifiedREST OF TEXAS
TX613071Medicare PIN
TXV06382Medicare UPIN